FYI

---------- Forwarded message ---------

From: Google Forms <forms-receipts-noreply@google.com>
Date: Tue, 28 Nov 2023 at 10:36
Subject: 5th KONKAN DIVISIONAL SWIMMING CHAMPIONSHIP – 2024
To: <pranita.amonkar@gmail.com>

Thanks for filling out 5th KONKAN

DIVISIONAL SWIMMING CHAMPIONSHIP – 2024
Here's what was received.

Edit response

5th KONKAN
DIVISIONAL SWIMMING
CHAMPIONSHIP – 2024
EVENT DATE: JANUARY 7th, 2024
REPORTING TIME – 7:30 AM
VENUE – MAROTRAO SHINDE SWIMMING POOL THANE
ORGANISER: MLC. ADV SHRI NIRANJAN VASANT DAVKHARE
PRESIDENT: SAMANVAY PRATISHTHAN, THANE
NO ENTRY FEES.
PARTICIPATION CERTIFICATES TO ALL.
LAST DATE OF ENTRY FORMS
SUBMISSION 01ST JANUARY 2024.
EVENTS ON TIME TRIAL BASIS.

Email *

pranita.amonkar@gmail.com

Swimmer Name *

Ayaan Kapil Amonkar

District *

Thane

WhatsApp Number *

9930901013

Club Name *

Thane Club
Gender *

Male

Date of Birth *

MM DD YYYY

09 / 13 / 2013

Age Group *

GROUP 4 2012 – 2013

Events for Group 6

25m 25m 25m 25m

BACKSTROKE BREASTSTROKE BUTTERFLY FREESTYLE

B-6

G-6

Events for Group 5 to Group 1

50m 50m 50m 50m

BACKSTROKE BREASTSTROKE BUTTERFLY FREESTYLE
B-5

G-5

B-4 ✓ ✓ ✓ ✓

G-4

B-3

G-3

B-2

G-2

B-1

G-1

Passport Size Photo *

Please upload your clear face picture or registration will be cancelled.

Submitted files

Ayaan Passport size pic - Pranita Amonkar.jpeg

Aadhar Card *
Please upload your aadhar card in PDF or JPG, PNG format or registration will be cancelled.

Submitted files

Ayaan Adhaar - Pranita Amonkar.jpg

 Terms & Conditions *

I have read & agreed to the Terms & Conditions

Create your own Google Form

Report Abuse