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  • Swimming Form

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    rajat_342
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    The document is an application form for membership to use the University swimming pool. It requests information such as the applicant's name, father and mother's name, date of birth, designation or status, and whether they can swim. It also requires the applicant to attach the original fee receipt, provide two passport photos, and get certification from their department that they are affiliated with the University. The form needs to be signed by the applicant and their parents if a minor, then approved by the swimming coach, medical officer, and Director of Physical Education.

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    The document is an application form for membership to use the University swimming pool. It requests information such as the applicant's name, father and mother's name, date of birth, designation or status, and whether they can swim. It also requires the applicant to attach the original fee receipt, provide two passport photos, and get certification from their department that they are affiliated with the University. The form needs to be signed by the applicant and their parents if a minor, then approved by the swimming coach, medical officer, and Director of Physical Education.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Swimming Form

    Uploaded by

    rajat_342
    The document is an application form for membership to use the University swimming pool. It requests information such as the applicant's name, father and mother's name, date of birth, designation or status, and whether they can swim. It also requires the applicant to attach the original fee receipt, provide two passport photos, and get certification from their department that they are affiliated with the University. The form needs to be signed by the applicant and their parents if a minor, then approved by the swimming coach, medical officer, and Director of Physical Education.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    APPLICATION FORM FOR MEMBERSHIP FOR THE USE OF THE UNIVERSITY SWIMMING POOL

    University Director of Phy. Edu (To be filled by the office)


    Directorate of Sports Identity card No._________
    Panjab University
    Chandigarh-160014 Register page No.________
    Space for passport
    size photograph.
    Valid up to _____________

    Date of Issue____________
    Dear Sir,

    Please enroll me as a member for use of the University Swimming Pool. I have deposited the requisite fees at
    the SBI Bank (fee counter) vide Receipt No.__________Dated________Rs._______(Original receipt attached). I shall
    abide by the rules of the membership.
    Name of Applicant Father & Date of Birth Designation/ Can/Can’t
    (in Capital Letters) Mother Name Status Swim
    ________________________________________________________________________________________

    ________________________________________________________________________________________
    I enclose two attested copies of my recent passport size Photographs.

    Yours Faithfully,
    My son/daughter may please
    be allowed to become the member Signature of the Applicant.
    of the University Swimming Pool Local Address ________________
    (In case of Minor) ____________________________
    ____________________________
    Permanent Address____________
    Siganature of Parents/Guardian
    ____________________________
    Certificate from Department/Office
    Name___________________ Father’s Name _______________ Class _________ Student or Employee ______________
    Dependent on ________________________Retd. Employee/ Alumni Deptt./ Branch _______________ (Bonafied student of the
    Panjab University Chandigarh.). Certified that all particulars given by him/her are correct according to the office record. It is
    recommended that he/she may be enrolled as a member.

    Date: _____________
    Head of the Deptt/ Branch
    ( With Seal)

    Signature of the Swimming Coach.

    Recommended by the University Health Center.


    P.U. Medical Examination Report.

    Date: ____________ University Medical Officer.

    Allowed under Rule 4.2 pertaining to the use of the University Swimming Pool on Page 456 of the University Calendar Vol. III
    (2005) the applicant be permitted to use the University Swimming Pool up to _________on payment of Rs. _______________ per
    month.

    University Directorof Phy. Edu.


    P.U. Chandigarh.

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