GOVERNMENT OF JAMMU AND KASHMIR GENERAL ADMINISTRATION DEPARTMENT ADMISSION FORM FOR ADMISSION TO SPORTS CENTRE, JAMMU Form No: __________ 1. Name of the Center: ______________________________________ 2. Name of the Applicant: _______________________________________________________ 3. Father's Name: _____________________________________________________________ 4. Date of Birth: _______________________________________________________________ 5. Applicant's Profession: ___________________Student or Non Student: ________________ (Not applicable in case of minor) 6. Address: (a) Permanent: ___________________________________________________________ (b) Correspondence: _______________________________________________________ (c) Telephone No. If any: ________________(office) ___________________(Residence) 7. Session Timing: Morning: _______________________ Evening_______________________ Time: _______________________ 8. Membership Duration: __________________________ DECLARATION BY THE APPLICANT It is certified that I/we have gone through rules and regulation (overleaf) of the center. For office use only Recommendation by Coach Applicant Signature Coach Signature Signature of the Father/Guardian: ___________________ Allowed or Not Allowed: ___________________ Supervisor/Manager/Coach In charge of Stadium COUNTERSIGNED DISTT.SPORTS OFFICER
