GOVERNMENT OF NATIONAL CAPITAL
TERRITORY OF DELHI
EDUCATION DEPARTMENT:SPORTS BRANCH
CHHATRASAL STADIUM:MODEL TOWN: DELHI-110009
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Note 1: All columns are to be filled compulsorily. |
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1 |
Select Game |
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2 |
Name of Applicant |
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3 |
Date of Birth (As mentioned in School Certificate) |
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4 |
Gender |
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5 |
Mobile No |
(10 Digits) |
6 |
Place of Birth (Name of State) |
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7 |
Present Address |
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8 |
Permanent Address |
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9 |
E-mail Address
Invalid E-Mail ID
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10 |
Father’s Name |
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11 |
Mother’s Name |
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12 |
Aadhaar Card Number(Only in Respect Of Applicant) |
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13 |
Document in Respect Of Domicile Of Delhi for last 3 years |
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14 |
Name of School/University/Department/Institute And Complete Address where the applicant is studying/Working |
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15 |
Occupation/Designation/office Address of the applicant, if working |
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16 |
Details of Employment (if in Service) i.e. since when, brief roles and responsibilities |
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17 |
National ranking of the Player ( Applicable in respect of individual game only) |
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18 |
Ranking as on (Date, month & year) |
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19 |
Rankings issued by which authority |
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20 |
In Case of Team Game,Briefly Describe Your Achievement |
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21 |
Details of Assistance being received from any other Source For same Purpose and Specific Period of Support(Incl. TOPS Scheme/Any other Scheme of GOI) |
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22 |
Whether Sportsperson found guilty of age Fraud at any stage (Tick Appropriate Box) |
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23 |
Whether Sportsperson has ever indulged in Doping at any stage (Tick Appropriate Box) |
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24 |
Whether Sportsperson is receiving benefits under "Pandit Deendayal Upadhyay National Welfare Fund for Sportspersons", a welfare scheme of Government of India |
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25 |
If yes to Sl. No. 24, then give details |
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26 |
Any other relevant information |
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Show Photo preview before upload( Max Size 50 Kb and Colour photo & only .jpg Format)
Note:-
1.Photograph affixed on the application should not be more than six month old.
2.The date on which photograph is made along with Name of candidate,D.O.B. and date should be reflected.
3.Candidate should affix Passport size(4 cm x 3 cm) photographs on all the Forms.
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(Max Size 300 Kb)
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