State: ANDHRA PRADESH

District: Certificate of Eligibility

Recent photograpgh Name
National School Games 2022-23 with Date
Under the aegis of School Games Federation of India dully attested by
HM/ Principal with stamp

Discipline:
(Game/Event) ________________________ U-11 / 14 / 17 Yrs (Boys/Girls)

1 Participant's Name (In Block

Letters)

2 Father's Name (In Block

Letters)

3 School's Name (In Block

Letters)

Full Address of School

4
(In Block Letters)

5 School's Phone No: with

Code
6 Last year Registration No: -
SGFI
Date Month Year

7 Date of Birth i) in Fig.

ii) in Words

8 Aadhaar No

9 Passport No (If available) -

Age in Completed Years Years Months Days
10
as on 31st December
Permanent address in Full
11 & Mobile/Phone No. (In
Block Letters)
12 Admission No & Years
13 Date of Joining the School

14 Standard & Section studying

this year

15 Standard studying last year

1 A mole -
16 Personal Identification
2 A mole -
Signature of the
17
Participant
Eligibility: 1. Eligibility to participat in U/11 yrs Age Group born on or after 1-1-2012 and as School Student of 3rd Class to 6th Class.
2. Eligibility to participat in U/14 yrs Age Group born on or after 1-1-2009 and as School Student of 6th Class to 12th Class
3. Eligibility to participat in U/17 yrs Age Group born on or after 1-1-2006 and as School Student of 6th Class to 12th Class
4. Eligibility to participat in U/19 yrs Age Group born on or after 1-1-2004 and as School Student of 6th Class to 12th Class
Certificates: 1. Certified that the above participant is a bonafide student of this institution for the years
2. Cetrified that I have personally verified the admission record maintained in the school and found correct
3. Certified that it is understood in the event of information furnished above found to be partly or wholy untrue, the above student is liable to be
disqulified for a period of two years in case the student is a member of the team then the participant is liable to be disqualified as a whole.
NOTE: If we found any information is wrong we have a right to remove his/her name from team at any stage.
PARENT DECLARATION: I have no objection to send to participate in School Games Tournament.
Signature with seal of the District
Signature of Signature of Class Signature with seal of the Head of School Games Secretary
the Parent Teacher/PET/PD Institution/Prinicipal

Signature with seal of Competent

Signature with seal of the Signature of the Coach/Meneger authority of State/UT/Unit with seal
Tournament Org Sec Post...............................
For Office Use Only :Name of the Invigilator………….……………………………………. Sign of the Invigilator…………...……...…….
Please find enclosed the following documents along with Eligibility Form:
Enclosed Copies : 1)Bonafide or Study Certificate, 2 )Previous year final exam Marks Sheet, 3)Aadhar Card, 4)Birth Certificate, 5)Passport.
 Bonafide Certificate
(including Previous Year Final Exam Marks) for SGF Eligibility Purpose

Name of the School :

Village, Mandal & Division :

Student Details

1. Name of the Student :

2. Admission No : Class & Year of Studying:

3. Father Name :

4. Mother Name :
DATE MONTH YEAR

5. Date of Birth :

In words -

Previous year Final Exam Marks

Sl. Name of the
ANNUAL GRADE OVER ALL GRADE RESULT
No Subject
1 TELUGU

2 HINDI

3 ENGLISH

4 MATHS

5 PHYSICS

6 BIOLOGY

7 SOCIAL

Certified that the above student is a bonafide student of this institution for the
year 20 - and I have personally verified the records maintained in the
school and found correct.

Station : _ _ _ _ _ _ _ _ _
Date : _________ Signature of the H.M/ -Principal

School Stamp here