AMITY

We Nurture Talent
AMITY SHOOTING CLUB
Amity University Campus, Sector- 125, Noida
S.No __________

Photo
+
1

1. Name ___________________________________________
2. Address (Contact Tele.No) _______________________________________
___________________________________________
3. Local Guardian Address & ___________________________________________
Telephone / Mobile no. ___________________________________________
4. Age / Date of Birth ___________________________________________
5. Educational Qualifications ___________________________________________
6. Name of School / College / Deptt. _____________________ ______________________
7. Father’s Name & Occupation ___________________________________________
8. Mother’s Name ___________________________________________
8. Blood Group ___________________________________________

9. Any other information you think

Relevant for considering your application _____________________________________

I declare that information given above is correct and undertake to abide by rules and regulations laid
down/that may be laid down.

(Signature of Applicant) Mrs. Kunti Malik

Date: (Director, ASC)

For Office Use

Valid up to ………………………

Renewed up to ……………………
 AMITY SHOOTING CLUB
Amity University Near - Express Way Sec-125, Noida Uttar Pradesh

INDEMNITY BOND

In consideration of my being nominated as shooter in the Amity Shooting Club (ASC) organized by Amity,

I, _____________________________________________, son / daughter of

________________________________studying in _______________________ do hereby declare that I

shall not make any kind of compensation in consequence of any mishap / loss / injury suffered by me during

such training.

I fully understand that neither my instruction staff nor Amity will be responsible to make any kind of

compensation in consequence of any mishap / loss / injury suffered by me aduring such training activity.

__________________________ ______________________________
(Signature of Student) (Signature of Parent)

Name _____________________ Name ________________________

Date ______________________ Date _________________________

Enclosures:

For Amitian 2 Colored Photographs and copy of Amity I D card.

For Non Amitian 2 Colored Photographs and copy of any I D Proof.