VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELGAUM

PROFORMA OF PLAYERS REPRESENTING INTER-COLLEGIATE SPORTS TOURNAMENT 20 - 20

GAME _________________________________________________ ORGANISING COLLEGE __________________________________________
TOURNAMENT DATE FROM _______________________________ TO ______________________________
Sl.
A B C D E F G
No.
a) Passing year of 10+2 (PUC)
a) Name of the student

Signature
b) Date of first admission to Previous Year
b) S/O ……………... Name of
Date of Birth present course Participation & Game / Photo
c) Sem / Branch the course
c)Date of admission to present Event
d) USN
Class / Sem
a)__________________
a) ____________
b)__________________
1 b) _____________
c)__________________ c) _____________
d)__________________
a)__________________
a)_____________
b)__________________
2 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
3
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
4
c)__________________ c)_____________
d)__________________
Sl.
A B C D E F G
No.
a)__________________
a)_____________
b)__________________
5 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________ a)_____________
b)_____________
b)__________________
6 c)_____________
c)__________________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
7 c)__________________ c)_____________
d)__________________

a)__________________
a)_____________
b)__________________
b)_____________
8 c)__________________ c)_____________
d)__________________

a)__________________
a)_____________
b)__________________
b)_____________
9 c)__________________ c)_____________
d)__________________
Sl.
A B C D E F G
No.
a)__________________
a)_____________
b)__________________
10 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
11 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
12
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
13
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
14
c)__________________ c)_____________
d)__________________

Sl.
A B C D E F G
No.
 a)__________________
a)_____________
b)__________________
15 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
16
c)__________________ c)_____________
d)__________________

PHYSICAL EDUCATION DIRECTOR PRINCIPAL

(Signature with seal)