Eligibility proforma for Annual Athletic Meet.docx

Athletics

1. Guru Kashi University, Talwandi Sabo
Faculty of ………………….
S.
No
.
Name of
Sportsperso
n
Father’s
Name
Mother
Name
University Roll
No.
Date of
Birth
Date &
Year of
Passing
Qualifying
Examinatio
n for First
Admission
to a College/
University
Presen
t Class
Name
of the
Presen
t
Cours
e
Duratio
n of
Course
Date and year
of First
Admission to
any
college/universi
ty
Number of
years of previous
participation
while pursuing
Signatur
e of
the
student
Nam
e of
Exa
m
Dat
e &
Yea
r
Date
&
Year
Present
Course
Graduat
e
Course
P.G.
Cours
e
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1Suraj
Kumar
Dileep
Manjhi
Daulat
Devi
12333371012
3
20/09/200
3
10+
2
202
1
B.P.TB.P.T4YR
6M
2Kanhaiya
Yadav
Ayodhi
Yadav
Rekha
Devi
12333371003
8
03/03/200
2
10+
2
202
0
B.P.TB.P.T4YR
6M
3Vickey
Kumar
Laldeo RayGita
Devi
12333371006
1
28/02/200
2
10+
2
202
1
B.P.TB.P.T4YR
6M
4Anjan
Kumar Das
Sudan RamSunaina
Devi
12333371000
8
15/05/200
5
10+
2
202
2
B.P.TB.P.T4YR
6M
5Aman
Kumar
Chunmun
Sah
Pushpa
Devi
12333371000
3
14/05/200
2
10+
2
201
9
B.P.TB.P.T4YR
6M
6Kamran Md
Kalimuddi
n
Saleha
Khatoon
12333371010
8
06/02/200
5
10+
2
202
2
B.P.TB.P.T4YR
6M
7Shahid
Raza
Md
Keyamuddi
n
Jaimul
Nesha
12333371005
8
22/05/200
3
10+
2
202
3
B.P.TB.P.T4YR
6M
8Aditya
Kumar Das
Mohan DasRinku
Devi
12333371009
5
01/01/200
3
10+
2
202
2
B.P.TB.P.T4YR
6M
9Amit
Kumar
Ajay
Kumar Sah
Asha
Devi
12333371000
5
20/11/200
1
10+
2
201
8
B.P.TB.P.T4YR
6M
10Md
Sanaubar
Alam
Maksood
Shah
Ahmadi
Khatoon
12333367100
66
17/04/200
4
10+
2
202
2
B.P.TB.P.T4YR
6M
11Shailesh
Kumar
Singh
Sushant
Singh
Kalyani
Devi
12333371009
8
14/02/200
5
10+
2
202
3
B.P.TB.P.T4YR
6M
12Ankush
Sharma
Manoj
Sharma
Veena
Devi
12333371000
9
01/01/200
3
10+
2
202
2
B.P.TB.P.T4YR
6M
13Rehan
Faizal
Shamse
Alam
Mussara
t
12333371005
3
27/11/200
3
10+
2
202
1
B.P.TB.P.T4YR
6M

2. Parween
14Ajeet
Kumar
Dinesh
Mahto
Sweta
Devi
12333371012
5
08/11/200
4
10+
2
202
3
B.P.TB.P.T4YR
6M
15Ankit
Kumar Jha
Anil JhaKancha
n Jha
12333371006
3
01/01/200
6
10+
2
202
3
B.P.TB.P.T4YR
6M
16Muskan
Kumari
Dharmendr
a Singh
Reena
Devi
12333371002
1
01/03/200
7
10+
2
202
3
B.P.TB.P.T4YR
6M
17Kajal
Kumari
Amarnath
Yadav
Sunita
Devi
12333371003
9
25/08/200
4
10+
2
202
2
B.P.TB.P.T4YR
6M
18Iqtisam Irfan
Ahmad
Sheikh
Shahnaz
a Akhtar
12333371007
6
10/02/200
2
10+
2
202
2
B.P.TB.P.T4YR
6M
19Anushka
Kumari
Mrityunjay
Tiwari
Ragni
Devi
12333371001
0
15/10/200
1
10+
2
202
0
B.P.TB.P.T4YR
6M
10+
2
10+
2
ELIGIBILITY PROFORMA FOR ANNUAL ATHLETIC MEET 2023-24
Name of the faculty ……………. Section: ……………….Men/Women Year Men Session…2023.24.
Certified that the above particulars are correct and true as per records of the College
Signature of the Game in charge /Coach _____________________ Signature of the Principal/Dean with office seal ________________