SILAMBAM

ENTRY FORM (UNDER - 14 BOYS / GIRLS) 2023 – 2024–(6 TH TO 9TH /BORN ON OR AFTER 01.01.2010)
Revenue
Education District:
District:

Zone: School name with Address & School email ID:

HM Mobile No.: UDIS Code No.:

S.No. Name of the Student Std. EMIS No. Date of Birth Event Signature of the Students

Kambu Sandai
1
(Below 30)

Kambu Sandai
2
(Below 35)

Kambu Sandai
3
(Below 40)

Kambu Sandai
4
(40 & Above 40)

Otrai Kambu
5
Veechu

Erattai Kambu
6
Veechu
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 SILAMBAM
ENTRY FORM (UNDER - 17 BOYS / GIRLS) 2023 – 2024–(6 TH TO 12TH /BORN ON OR AFTER 01.01.2007)

Revenue
Education District:
District:

Zone: School name with Address & School email ID:

HM Mobile No.: UDIS Code No.:

S.No. Name of the Student Std. EMIS No. Date of Birth Event Signature of the Students
Kambu Sandai
1
(Below 30)
Kambu Sandai
2
(Below 35)
Kambu Sandai
3
(Below 40)
Kambu Sandai
4
(Below 45)
Kambu Sandai
5
(Below 50)
Kambu Sandai
6
(Below 60)
Kambu Sandai
7
(60 & Above 60)
8 Otrai Kambu Veechu
Erattai Kambu
9
Veechu
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 SILAMBAM
ENTRY FORM (UNDER - 19 BOYS / GIRLS) 2023 – 2024–(6 TH TO 12TH /BORN ON OR AFTER 01.01.2005)
Revenue
Education District:
District:

Zone: School name with Address & School email ID:

HM Mobile No.: UDIS Code No.:

Name of the
S.No. Std. EMIS No. Date of Birth Event Signature of the Students
Student
Kambu Sandai
1
(Below 45)
Kambu Sandai
2
(Below 50)
Kambu Sandai
3
(Below 55)
Kambu Sandai
4
(Below 60)
Kambu Sandai
5
(Below 70)
Kambu Sandai
6
(70 & Above 70)

7 Otrai Kambu Veechu

Erattai Kambu
8
Veechu
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 SILAMBAM INDIVIDUAL PHOTO IDENTITY FORM
2023 - 2024
(For Individual Sports only)

1 Sports / Event SILAMBAM /

2 Age Group 14 / 17 / 19 – Boys / Girls

Passport Size
Name of the Student recent Photo
3
(in BLOCK LETTERS ) with School
4 Uniform
Standard & Section
(Attested
by Head Master/
a) EMIS Number
Principal with School
5 Seal)
b) Admission Number

c) Aadhaar Number

Date of Birth in figures

6
Date of Birth in words

Name of the School

7 with Address[ With PIN ]
/ School Seal.

8 Residential Address with

Contact Number
Parents Mobile No:

9 Name of the Zone

10 Name of the Education District

11 Name of the Revenue District

1.
12 Identification Marks
2.

In English :
13 Signature of the Student
In Tamil :

I certify that the particulars furnished above have been verified with reference to the
Information registered in the school record and found correct.

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER