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

Age:

5. Educational Qualifications
6. Name of School/College/Deptt.
7. Fathers Name & Occupation
8. Sports/Games applied for (Please write the name of Discipline)
Or Tick () mark under
Athletics, Badminton, Basketball, Boxing, Cricket, Cycling,
Football, Gymnastics, Hockey, Judo, Shooting, Swimming, Table
Tennis, 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 / R.K. Khanna Stadium,
New Delhi (See Page 4)

10. Achievements in Sports for last 1 year, if any

(Documentary proof in support to be attached)

Contd2/-

-: 2 :-

11. Any other information you think relevant for considering your
application .
12. Mandatory requirements:
(a) Shooting

Copy of the Arms Licence

(except for Air Rifle & Air Pistol)

(b) 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

Contd3/-

-: 3 :RULES AND REGULATIONS

1.

SAI/AITA 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/AITA 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 2PM. 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/AITA 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)

Contd4/-

-: 4 :(FOR OFFICE USE ONLY)

Received a sum of Rs. (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,
FOOTBALL,
WEIGHTLIFTING,
(Tel: 011-24369781)

I.G. STADIUM

BADMINTON,
BASKETBALL,
BOXING,
CYCLING, GYMNASTICS, JUDO, TABLE
TENNIS & WRESTLING
(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)

R.K. KHANNA STADIUM

AFRICA AVENUE
New Delhi-110029

TENNIS
(Selection through Competitions )
(Tel: 011-2617 6279)

Details can be had from sportsauthorityofindia@nic.in and AITA website)

VOLLEYBALL,