Gujarat Technological University

Eligiblity form
Name of the Participating College: .Government Engineering College.......................................................................................................................
College Code as per GTU:.020.........................................................

Game: .Best Physique...............................................................................................................................................................

Name of the Participating College: Narayanlal school of industrial management and computer science, Navsari.....................................................................................................................
Section: :..............................................................................
No. of
years
Month & year of Last semester exam
Duration of Date and year of FIRST Admission in already
Student name with Passing SSC/HSC Present Class, Name of present passed & year
Sr No. Father's Name Mothers Name Date of Birth present course in participa Remarks
Surname with Roll No. course
years te in the
Present Sem- Inter uni.
Exam Uni. Present class Year
course ester Tourna.

1 Rishav Sharma Shri Nivash Sharma Arti Sharma 01-22-2002 2019 190200111094 EC 4 years 18-07-2019 18-07-2019 18-07-2019 6 2022 1

Manager Name: ............................................................................ Mobile No. :...............................................

Date: .......................................

Note: Certified that the above particulars are true as per record of the college and the players are not employed either part time of full time basis.
Date: ..................................

D.P.E. / Sports Incharge Seal of the College Signature of the Principal