Latest Photo
With Name &
Format Date of Birth Duly
attested by the
Head of Institution
State/UT/Unit………………… NATIONAL SCHOOL GAMES-20……
With Stamp
Under the aegis of School Games Federation of India*
Age Group under……………… Boys & Girls
FILLING OF ALL COLOUMNS IS COMPULSORY AND STRICTLY AS PER SCHOOL ADMISSION RECORD
1. Name of the Participant ( In Block Letters)
2. Fathers Name ( In Block Letters)
3. Mothers Name ( In Block Letters)
4. Name of the School ( In Block Letters)
5. Full Address of the School ( In Block Letters)
6. Schools Phone Number with Code Number
7. Last Year’s Registration No. SGFI
8. Date of Birth Viz (1) ( In Figures )
(2) ( In Words )
9. Aadhar No:-
10. Passport No. ( If Available)
11. Sports Discipline
12. Age Completed in Years as on 31st of December
13. Permanent Address & Phone/Mobile No.
( In Block Letters)
14. Name of CD Block
15. Name of Instructor/P. Teacher
16. Name of Panchayat Halqa /Municipal Ward
where School is located
17. Admission No.& Year
18. Date of Joining the School
19. Standard/Class/Section Studying this Year
20. Standard/Class/Section Studying Last Year
21. Bank Details of Participant Name:-
( If Not Available then mention Name of Bank:-
Fathers/Mothers A/C Number A/C No(16 Digit)
IFSC Code
22. Personal Identification Mark 1.
2.
23. Signature of the Participant
Certificate:-
1. Certified that the above participant is a bonafide student of the institution for the academic year.
2. Certified that I have personally verified the Admission Records maintained in the School & found correct.
3. Certified that it is understood that in the event of the information furnished above found to be partly or wholly untrue,
the student is liable to be disqualified for a period of 02 years. In case the student is a member of the team then the
participant is liable to disqualified as a whole.
Signature of Competent Authority Signature with Seal Signature with Seal
of State/UT/Unit with Seal Manager/ Head of Institution
Post/Desig………….. Principal/Headmaster
For Office Use Only Name of Invigilator Signature of Invigilator
OFFICE OF THE PRINCIPAL/HEADMASTER…………………………………………………………………………………………
…………………………………………………………………………………………………………………………………
BONAFIDE/BIRTH CERTIFICATE
NAME OF THE STUDENT………………………………………………………………………………………………..
(In Block Letters)
FATHERS NAME……………………………………………………………………………………………………………..
(In Block Letters)
CLASS…………………………………………. ROLL NO………………………………………………………………..
D.O.B. IN WORDS…………………………………………………………………………………………………………….
DATE OF BIRTH IN FIGURES……………………………………………………………………………………………….
ADMISSION NO…………………………………………………………………………………………………………………
DATE OF ADMISSION…………………………………………………………………………………………………………
Certified that the Student is bonafide student of this institution and the particulars are
correct as per his/her admission records
Incharge Admission PEL/PEM/PET/Rek Seal & Signature of
Head of Institution
INDEMINITY BOND
I …………………………………………………….. ………….Father of ………………………………………………………………………..
Of HSS/HS/MS…………………………………………….Student of Class……………………………………………………………….
Bearing Roll No:-…………………………………….. Have no objection if my ward will participate in Sports Activity
to be conducted by the Department of Youth Services & Sports at Zonal/District/Divisional/State/National
Level Competitions.
I further undertake and allow my ward to participate in the tournaments on my own risk &
responsibility during the travel & during the Play & competition.
Signature of the Parent………………………………
Name of the Parent …………………………………..
Contact No…………………………………………………
Signed in my Presence:-
1. …………………………………..
S/O ……………………………………
R/O …………………………………….
2. …………………………………..
S/O ……………………………………
R/O …………………………………….
BIRTH CERTIFICATE
Certified that ………………………………………………S/O…………………………………………………..
Is the permanent resident of Village…………………………. Tehsil……………………
District……………………….. Of Jammu & Kashmir State.
His date of birth as per records is…………………………..
Signature of
Village Chowkidar/Numberdar/Sarpanch
BIRTH CERTIFICATE
Certified that ………………………………………………S/O…………………………………………………..
Is the permanent resident of Village…………………………. Tehsil……………………
District……………………….. Of Jammu & Kashmir State.
His date of birth as per records is…………………………..
Signature of
Village Chowkidar/Numberdar/Sarpanch
