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GURU NANAK DEV UNIVERSITY, AMRITSAR

SWIMMING MEMBERSHIP FORM 2022

1 Name _______________________
Paste Passport size
2 Father’s Name _______________________ photographs
3 Regd. No. in case _______________________
of GNDU Student

4 Class /Roll No _______________________


College / Deptt.
_______________________

5 Date of Birth _______________________

6 Amount Deposited _______________________

7 Profession _______________________
(for outsiders)

8 Aadhar Card No. _______________________

9 Address _______________________

_______________________

10 Mobile no. _______________________

11 Timing opted Morning / Evening


(Tick only one)

I wish to learn / do Swimming at my own risk and responsibility and my Head / Principal / Parents have no
objection for the same. I have carefully read the regulations regarding use of the Swimming Pool and promise to
abide by the same.

Recommendation of the Head /


Principal (with rubber Stamp) Signature of the Candidate

I have no objection to my son / daughter / ward seeking swimming membership at Guru Nanak Dev
University, Amritsar for 2022.

Signature of Guardian / Parents

Medical Certificate

I have, examined Mr/Mrs/Miss _____________________________s/o/d/o/wife of


S/Sh.____________________________ and found him / her medically fit as he / she does not suffer from any skin
disease.

University Medical Officer/MBBS Doctor

Signature of the Life Saver

Note : 1 A member must submit two passport size photographs.


2 Attached one photo copy of Aadhar Card.
3 Kindly read the instruction / rules & regulations overleaf carefully before filling the membership form.
4 Sunday Closed.
S
Swimming Pool Session 2022

Instructions

1 Guru Nanak Dev University Swimming Pool is open for members only.
2 Entry shall be through Swimming Pool Membership Identity card only.
3 Members Identity cards will be checked and deposited at the swimming pool main gate before
entering the pool. Entry without Identity card will not be allowed.
4 Discipline is pre-requisite. In case of in-discipline, the swimming membership will be cancelled.
5 The university and the department will not be responsibility for the loss of any belongings.
6 Members shall swim at their own risk and responsibility with proper costumes / cap and shall take a
shower bath before entering the pool.
7 Smoking and/Drinking (soft / hard)/Eatables are not allowed.
8 Beginners should, on no account, enter the large / competition or the diving pool. They should
wear red caps for identification purpose.
9 Members suffering from any skin / infection / contagious diseases are not allowed.
10 Full value shall be charged for any damage, breakage or loss of the pool property.
11 Members shall not interfere within the duty of any swimming pool staff members.
12 A member has to opt one timing either in the morning or in the evening session.
13 No member shall use the Lane no. 1 and 2. These lanes are reserved for swimming players.
14 The pool shall be closed during Guru Nanak Dev University Inter-College Swimming Championship /
other National Championships.
15 The Swimming Pool shall be closed on Sunday.
16 The minimum age limit for membership is 9 years. In case, parents are interested for
membership of child below 9 years, they have to give self responsibility declaration for their
child and also have to join as member along with the child. The membership fees shall be
applied as per rules.

17 It is mandatory for the students / teachers / employees / ex-employees / college teaches and
employees to attach a copy of the Identity card with their membership form and with their
children membership form.

18 DATE OF BIRTH CERTIFICATE is must be attached with membership form in case of


Children below 15 years age.

Note : Any member who does not adhere to the above instruction and / or creates indiscipline he/she shall
forfeit his/her membership along with deposited amount without any notice.

Director Sports

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