Department of Sports Recreation and Wellness

ELIGIBILITY PROFORMA
Name of the Institute: ____________________________________________________________________

Sport: _______________________________ Year: ________________________

Sr. Name of Photo of Father’s Date College in PRN Date & Year of Passing Present Name Duration Date & Year of Email ID Contact
No Sportsperso the Player Name of which Number Qualifying Examination Class of the of Course First Admission No.
n Birth studying for First Admission to a Present to
College/University Course

Name of Date & Universi Present

Exam Year ty Course
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1
2
3
4
Name of Captain: _________________________________________________
1) Certified that the above particulars are correct and true as per records of the Institute.
2) Only 3 student entries to be made on 1 page. (including 1 substitute)
3) Seal of the institute, sign of the sports faculty in charge and sign of the institute director should be there on all the pages along with page number.
4) All the photos should be counter signed by the Directors/ Admin officers of the respective institutes.

Date Seal of the Institute Signature of the Faculty In-charge:_______________ Signature of Director: ____________

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