Adobe Scan 14 Dec 2023
Adobe Scan 14 Dec 2023
Adobe Scan 14 Dec 2023
State/UT/Unit. D E L H I
NATIONAL SCHOOL GAMES 20.... To 20....
Under the aegis of School Garnes Federation of India Latest Photo name
With date duly
dby the principal
Atesteu
Head Master with Starnp
Certificate of Eligibility
Age Group under .Boys /Girls
01 Name of the Participant PRESHTHA SHARMA
(In Block Letters)
02 Father's Name
(In Block Letters)
PARITOSH KUMAR SHARMA
Mother's Name
03 (In Block Letters)
SHARDA SHARMA
04 Name of the School
(In Block Letters)
AIRFORCE BALBHARATI SCHOOL
05 Full Address of School
(In Block Letters) LODI ROAD, NEW DELHI-110003
06 School's Phone No. with Code No. 011-43564950
07 Last Year Registration No. SGFI
08 Date of Birth (i) In Fig.
2 2 0 8 2 0 0 9
(iü) In Words TWENTY SECOND OF AUGUST TWO THOUSAND NINE
09 Aadhaar No. 405984975097
10 Passport No. (if available) T5273103
11 Discipline FOOTBALL
12 Age in Completed years as on 31 December Year Month Days
Permanent Address & Phone / Mob. No. 9/3, TYPE-II, RAILWAY COLONY, CHANAKYAPURI
13 (in Block Letters) NEW DELHI-110021. (8800644183, 9868778167)
14 Admission No. & Year P27767 Year-2014
15 Date of Joining the School 09-04-2014
16 Standard & Section Studying this year CLASS-09, SECTION-A
17 Standard Studying last year CLASS-08
Name PARITOSH KUMAR SHARMA
Bank Detail of participant |Name of Bank: STATE BANK OF INDIA
18 (If no then mention Mother/Father A/C No.) |A/C No. 10211948361
IFSC Code SBIN0003771
19 Personal ldentification Marks :
1 Birth mark on the left forearm)
Birth mark (White) on the left triceps.
20Signature of the Participant
Certificate: 1.cerified that the above participant is a bonfire student of this Institution for the academic year.
2. Certified that I have personally verified the admission records maintained in the School and found correct.
3. Certificate that it is understood in the event of information furnished above found to be partly or wholly untrue, Ihe
above students is liable to be disqualified for a period of two years in case the students is a member of the team,
then the participant is liable to be disqualified as a whole
Signature of Competènt Authority Signature with Seal Signature with Seal of the
of State/UT/Unit with Seal Manager / Coach Head of Institution/Principal
Post / Desn. Head Master