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NCOE ATHLETE CONSENT/ADMISSION FORM

ARCHERY
Sports Discipline -

DOB Mobile No. Tentative Date of Joining


10-02-2008 9436346575 15-06-2023

I, Devraj Mohapatra , Male /Female (Please Tick), is


undergoing training in SAI STC, Shillong (name of the present academy)
would like to train in NCOE.(Refer List of NCOE in mail)

A. Preference 1 NCOE Guwahati - Non- Residential


B. Preference 2 NCOE Kolkata - Non- Residential
C. Preference 3 NCOE Sonepat - Non- Residential
D. Preference 4 NCOE Aurangabad - Non- Residential
E. Preference 5 NCOE Imphal - Non- Residential
F. Preference 6

( OR )

I, , Male/Female (Please Tick),


athlete in sports discipline would not like
to join NCOE and continue to train at (name of
the current academy).

a) Further, I am aware that I would be assessed on my performance regularly.

Signature:
Name of Athlete: Devraj Mohapatra

Date: 10-06-2023

Counter Signature of Parent:


(In case of Minor)

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