Sansad Khel Spardha Single
Sansad Khel Spardha Single
Sansad Khel Spardha Single
ENTRY PROFORMA
Conducted By Agra District Table Tennis Association
Venue : Eklabya Sports Stadium Agra
Name ………………………………………………................................................................................
Father’s Name ………..………………………………...........................................................................
Date Of Birth ……….………………………… Age ………...................................................................
Institution Name .……………………...................………………………………………..........................
Address …….…………….…………………………………………………..............................................
…………..………………………………………...........................................................................
Mobile Number…….. ………………………………………………………………………........................
Gender Male Female
1
Doubles
2
MARATHON
ENTRY PROFORMA
Name ………………………………………………................................................................................
Father’s Name ………..………………………………...........................................................................
Date Of Birth ……….………………………… Age ………...................................................................
Address …….…………….…………………………………………………..............................................
…………..………………………………………...........................................................................
Mobile Number…….. ………………………………………………………………………........................
Gender Male Female
Declaration
I ………………………………………..declare that I am Completely fit to participate in the Marathon Games. I
………………………………….. will follow all marathon rules.
1
Men’s Doubles
2
1
Women’s Doubles
2
1
Mix Doubles
2
Name………………………………………………………….........................................
Gender Male Female
Weight For Male 40 44 48 52 56+
Coach Name……………………………………………………………………………………
Contact No……………………………………………………………………………………..
Manager Name…………………………………………………………………………………
Contact No……………………………………………………………………………………..
Athletics
ENTRY PROFORMA
Name ………………………………………………................................................................................
Father’s Name ………..………………………………...........................................................................
Date Of Birth ……….………………………… Age ………...................................................................
Address …….…………….…………………………………………………..............................................
…………..………………………………………...........................................................................
Mobile Number…….. ………………………………………………………………………........................
Gender Male Female
Event
100 Meter
200 Meter
400 Meter
1500 Meter
Javelin
Long Jump
Declaration
Sr. No. Name Unit Body Wight Snatch Clean & Jerk Signature
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Referee
Referee 1 Referee 2 Referee 3
ENTRY PROFORMA
Game /Sports…………………………………………………………………………………..
Group (Boys /Girls)…………………………………………………………………………...
Team Name………………………………………………………….........................................
Coach Name……………………………………………………………………………………
Contact No……………………………………………………………………………………..
Manager Name…………………………………………………………………………………
Contact No……………………………………………………………………………………..
Note-
Required No. Of Players In Each Team
Basket Ball 10 + Coach + Manager =12
Kabaddi 10 + Coach + Manager =12
Volley Ball 9 + Coach + Manager =11
Kho-Kho 10 + Coach + Manager =12
Hockey 8 + Coach + Manager =10
Handball 9 + Coach + Manager =11
SIGNATURE OF PARTICIPANT SIGNATURE OF PARENTS
Wrestling
ENTRY PROFORMA
Venue : Eklabya Sports Stadium Agra
Referee
Referee 1 Referee 2 Referee 3