Eligibility proforma of players




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Candidate

Signature should be on top of the Photo

PHOTO

to be attested by the Principal


NNA UNIVERSITY SPORTS BOARD


ANNA UNIVERSITY, CHENNAI – 25
ELIGIBILITY PROFORMA OF PLAYERS


Zone No.




1

Name of the Student




2

Game




3

Father’s Name




4

Mother’s Name




5

Name of the College




6

Date of Birth & Age




7

Address for Communication

Mobile :

Landline :




8

Permanent Residential Address



9

Physical Director’s Mobile Number




10

Month & Year of Passing +2 / 10 Examination




11

Current Course of Study in Anna University

  1. UG / PG :

  2. Year : I / II / III / IV

  3. Branch :

12

Anna University Examination Registration No.




13

Details of UG Study

(for PG students)



Name of UG Programme :

College of Study :

Year of Admission :

Year of Completion :



14

Period of break of study (if any)




15

Details of earlier representation in

University team *






16

Details of participation in National /

International Tournaments *






17

Size of Uniform (√ the right size)



36

38

40

42

44

46



Enclosure :

  1. Attested copy of the +2 mark sheet / Diploma Certificate

  2. Attested copy of the AU examination recent Hall Ticket / fee receipt for I year / recently received Semester Mark Sheet.

  3. Attested copy of the degree certificate in case of PG students.

  4. Attested copy of Form III / II / I *

Signature of the Student

Signature of the Principal Signature of DPE



College Seal


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