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BADMINTON ASSOCIAI1ONOF INDIA

AE CERTIICATE FORELAYERS
. Name in full:

*
a l e / Female:
uti SAYIO
MALE
ather' name in full

Nother's name in full:


e n Sutae s Mnt AMES PAUL
Date of Hirth:
fm e Hirth egitieA
Ka'lar
. P a c e ol Hirth
NEDLANMKANI DAPL kERAV E R

SCHOOLY
LAR

PIace of Hirthdetails
KARWAA IOSPI1AL NESMkNDAR
l of enal pla a h s T
Actua Ben Plare Trailk m
name R, aA
M U Y E

8. Twe ldentification marks

ABLAC K MOLE CN THE RIGtT FORLARM


.
A BLACK MOLE NEAR IHE LEEI wRIST
Communication address:
THAZHATHE DATHIU NEDUMkANDAM Ro
G35553 DUkKI KERALA
- a l address:
Saviosiki DO 9amail.com" 400L27 44|
tO. Age as at 1 January of the calendar year of the date of this certificate

11. In case ofstudents, class in which study ing *s at 1" January of the calendar
year of the date of this certilicate

per attached sheet.


12. Give details of educational instltutions studicd as

We contin that the above intomation is true and comect Picae tMae that the Gte vf cmibng ms Toem as nikad im spae pronuad beaens

Signature of tie Player Let Hand Sipreksbn ofplayer Signaturc of Parent (In case of Minor)

Signature of Hon. Secretary


LEESHSU Hon.s Sgnature of Scho Head Master
ar the State Association
HON n
trict Bndiminton snu
HRISHN
MASTER
HGH SCHOoL KALLAR
oVT. His
Seal of z Seal of the Statc Association
MUNONE 5eo aZAti
Date: Datc:
Date:
Place: (HeDLp A Pface Place: .
Kall
BADMINTON ASSOCLATION OF INDIA
ANNEXURE-A

BADMINTON ASSOCIATION OF INDA


AGE CERTIFICATE FORPLAYERS
a e In u n :
SIB SAVIO
wn Sae Men) (Surname) (Name)
m

from KGi
2.
Detais of eaeh Sehool/ College /Organizatlon
Onwarts
Phone Numbers
Studicd in
years Class Stuaied
Nanc
Postal Address ron To From o

S.H ENGnLISH|KALkoOMTIALNED
MEDIUM LIMkANDAMRO
KERALA, G81992
SCHOO
20192* o
2GHS.S KALLAR PO MUND=0u868-221412| 2OIS |
KALLAR1YERUMA KERALA|- Po19 2021| ir
G85522

n d

tnar Whe a b u v e n t o t m a T o n
1s tnuc ana COmect. rk erar that
the e eertiyire i8
Cconn

an or playersgnaturo of Parerit (ln ciuseot


Signature of hielay Let Minor)

Signature of lHon. Secretary Signature of cur Syol Head


BILEESHSUKUMARANrt

iation State Association MaMRISHEhcipal


HON. SEC me
Asocion on Organikasn ESazeted
Badmintn
DPtrict
GOVT HEADAoALA
HIGHS
MUNDINERUNA,JeLUKKI-685 552

cO

Seul of the Distri Scal of the Statc Association Seal


o hool Collda
Date: 3 1 - 0 1 - 2 2 3 Date: Date: E Ka
Place Place
Place: Henu pu2A

BADMINTON ASSOCIATION OF INDIA

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