This side of the Applicant's Record includes a requirement check off table. The table is used to list the Requirement number and letter, the Date of approval, and Counselor initial. There are eleven rows in each column of the table. This means some of the longer requirements that have many parts will be listed in one space. The Merit Badge name should be written above requirements.

This side of the Applicant's Record includes his Name, and the Merit Badge. The Completed On Date is also listed. There is also a line for the counselor's signature and for the Scoutmaster's signature.