ANNEXURE-I

Application for Registration of Official Kho Kho Coach

1. Name of applicant (Block Letters): _______________________

2. Father’s/Husband’s Name : _______________________

3. Nationality : _______________________

4. Date of Birth (DD MM YY) : _______________________

5. Educational Qualification Matriculation onwards:

Educational/ Technical

Qualification University/Board Year Subjects Marks (%)

6. Gender (Male/Female) : ____________________________

7. Address for Correspondence : ____________________________

____________________________

____________________________

8. Permanent Residential Address : ____________________________

9. Work Experience (if any):

Sr. No.

Organisation / Institute Period

From – To Nature of Work Remarks

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10. Declaration:

I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect or not satisfying the prescribed eligibility criteria for the post applied for, my candidature is liable to be cancelled I rejected at any stage of selection. Place : Date :

Signature of the applicant

***** End of Document *****

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