Name of Candidate :
Father’s/Guardian’s Name :
Occupation :
Mother’s Name :
Mother Tongue :
Permanent Address :
Bloode Group :
Mobile NO :
Name of School :
Photo :
Position :
Representation : Camp / Club. :
Dist :
State :
Remarks if any :
Height :
Feet :
Inches:
Weight :
Past History of Major liiness if any :
I Sri / Smt.
Father / Mother of :
Do hereby take sole responsibility to bring my child / ward to practice and take him back home after Practice.
Candidate Signature :
Date :
Parents / Guardian Signature:
