Upload
anandduraiswamy
View
214
Download
1
Embed Size (px)
DESCRIPTION
er
Citation preview
SCHOOL GAMESFEDERATION OF INDIA
01 Name of the participants(In Block letters)
M.POUNRAJ
02 Father s name (In Block letters)
M.MURUGAN
03 Name of the institution (In Block letters)
KENDRIYA VIDHYALA
04 Institution full Address(In Block letters)
P.T.RAJAN ROAD NARIMEDU MADURAI
05 Institution phone no. with Code No.06 Last year registration No . SGFI07 DATE of Birth (i)in FIG
(ii) in words31/01/2002
08 Disclpline GOOD09 Pass port NO. (IF AVALABLE) NO
10 Age in Completed Years as on 31 December 13
11 Home Address in Full & phone / Mob.No. (in Block letter
2/742 AATHI NAGAR Y.OTHAKKADAI MADURAI-625107 CELL NO; 9367702323
12 Admission No. & Year 8876 2007
13 Date of Joining the school
14 Standard & Section Studying this year 8 B
15 Standard Studying last year 7 B
16 Personal identification marks A MOLE ON RIGHT HANDA SEARE ON LEFT HAND
17 Singnature of the Participants
Certutucate.1.certified that the abive particuoant is a bonalide student of the institution for the academic year.2.certified that the I have personally verified the admission recirads maintained in the school andfound correct.3. certificate that it is understood in the event if information fumshed above fount to be party or wholly dune the above student is liable to be disqvalified for a period of two years in case the stutaints is a member of the team then the participant is to be disqualified as a whole
Singnature of competent authority Singnature with Seal Singnature with Seal of theOf State/UT/Unit with Seal manager/ Coach Head of institution/principal
For office use only .name of invigftator -------------------------------- sign of invigilator ---------------------------
Post / desn………..