...

SPORTS AUTHORITY OF INDIA

by user

on
Category: Documents
1

views

Report

Comments

Transcript

SPORTS AUTHORITY OF INDIA
SPORTS AUTHORITY OF INDIA
JAWAHARLAL NEHRU STADIUM COMPLEX (EAST GATE)
LODHI ROAD, NEW DELHI-110 003
Application Form for admission under “COME & PLAY SCHEME”
Please attach two passport
size photographs
1.
Name
2.
Address
3.
Telephone No.
4.
Date of Birth
5.
Educational Qualifications
6.
Name of School/College/Deptt.
7.
Father’s Name & Occupation
8.
Sports/Games applied for (Please write the name of Discipline)
Or Tick (_/) mark under
Age:
Athletics, Basketball, Badminton, Boxing, Cricket, Cycling, Football,
Gymnastics, Hockey, Judo, Shooting, Swimming, Table Tennis, Volleyball,
Weightlifting, Wrestling
9.
Stadia applied for
J.N. Stadium / I.G. Stadium, including K.D.Jadhav
Wrestling Stadium and Cycling Velodrome /
Major Dhyan Chand National Stadium / Dr. Shyama
Prasad Mukherjee Swimming Pool Complex / Dr. Karni
Singh Shooting Ranges (See Page 4)
10.
Achievements in Sports for last 1 year, if any
(Documentary proof in support to be attached)
- 2 -
11.
Any other information you think relevant
for considering your application ………………………………………………………….
12.
Mandatory requirements:
(a) Shooting
(b)
Copy of the Arms Licence
(except for Air Rifle & Air Pistol)
Other disciplines
Copy of the Medical Fitness Certificates
[Documentary proof in support of (a) & (b) to be attached]
I declare that the information given above is correct and undertake to abide by the
rules and regulations laid down / that may be laid down.
Approved for issue of Card
(Signature of applicant)
Recommendation of Coach
Signature, Name & Stamp of
Head of Institute / School /
Department or Identity Proof
Date ……………………….
Stadia Administrator
- 3 RULES AND REGULATIONS
1.
SAI will not be responsible for any injury/loss of life during the playing period and
no compensation or claim will be entertained.
2.
All instructions imposed by the Administrator or his representative will be strictly
adhered to.
3.
Membership Card will be brought every day and will be shown on demand from
Authorized Officer.
4.
Pets are not allowed inside the Stadia Complex.
5.
Any deliberate damage/loss caused to the Stadia property will be recovered from
the member.
6.
Stadia Authority reserves the right to suspend/cancel the membership of any
individual without giving any prior notice/reason in the interest of efficient
functioning of the arrangements.
7.
The access to the family members is limited to areas mentioned on the Card.
8.
SAI will not be responsible for loss of any valuable/cash.
9.
Fee will be collected a week before the month from members between 10 AM to 2
PM. The cards automatically get cancelled, if not renewed within stipulated
period.
10.
No refund or adjustment of fee will be made in case the Swimming Pool & other
facilities are closed for maintenance or for any other unavoidable reasons.
11.
Documents required for membership: Two passport size photographs, Residential
Proof or Identity Proof, Date of Birth Certificate & Medical Fitness Certificate and
also the applicant should not suffer from any contagious disease.
12.
SAI reserves the right to change the Training time as and when required.
I have read the above rules and regulations and hereby undertake to abide by
them.
(Signature of the applicant)
(Signature of guardian)
- 4 -
(FOR OFFICE USE ONLY)
Received a sum of A ………… (Rupees ………………………………… only) towards
registration/membership fee for the quarter ending ……………………………………………
vide Receipt No. ………………… dated …………………… Card No. ………………….
Issued/renewed on ………………………….. valid upto ……………………………
Office of the Administrator
(…………………………………….)
PS:
STADIA-WISE DISCIPLINES
J.N. STADIUM
ATHLETICS, VOLLEYBALL, WEIGHTLIFTING,
FOOTBALL
(Tel: 011-24369781)
I.G. STADIUM
BADMINTON, JUDO, WRESTLING, CYCLING,
BOXING, GYMNASTICS, TABLE TENNIS,
BASKETBALL
(Tel: 011-23392729)
MAJOR DHYAN CHAND
NATIONAL STADIUM
CRICKET, HOCKEY
(Tel: 011-2338 9740)
DR. SHYAM PRASAD
MUKHERJEE SWIMMING
POOL COMPLEX
SWIMMING
(Tel: 011-2309 4832)
DR. KARNI SINGH
SHOOTING RANGES
SHOOTING (RIFLE, PISTOL & SHOT GUN)
(Tel: 011-2604 7802)
Fly UP