Athlete's Name* |
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Father's Name* |
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Mother's
Name* |
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Current Address* |
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Parmanent Address* |
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Date of Birth* |
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Phone No.* |
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Gender* |
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Married/unmarried* |
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Blood Group* |
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E-mail ID* |
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Passport No* |
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Passport validity date* |
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Physically Challenge Category (Visually Impaired / Orthopedically Handicapped) * |
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Athlete Level International / National* |
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Fresher
If No then Delhi State License No.* |
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National Participant
National License No.* |
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International Participant
IPC SDMS License No.* |
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Achievement (s)
State Championships, National Championships, Asian Championships,
Paralympic Championships, World Championships, Others* |
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Games Level* |
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Sports Category
Track & Field Category, Swimming Class, Powerlifting Weight Category, Sutting Class* |
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Bank Account Number* |
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Bank A/c. Holder Name* |
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Bank Name* |
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Bank Branch* |
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Bank IFSC * |
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Scanned Documents to be Attached * (upload images jpg only and size less than 20 kb ) |
Address Proff |
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ID Proff |
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Date of Birth Proof |
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Passport Size Photograph |
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IPC SDMS License |
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Essential Conditions :
- The player should be a bonafide resident of Delhi for the last 3 years
OR
- He / She should have represented Delhi in Senior National tournaments and championship in any of the last 2 years, immediately preceding from the time of request for assistance is made
OR
- He / She should be enrolled for past 2 years/ passed out from Delhi schools.
OR
- If He / She are enrolled as a regular student in any University situated at Delhi but is not a bonafide resident of Delhi and satisfies any of the following two conditions at the time of enrolment in University.
OR
- If he / she has passed out as a regular student from any University situated at Delhi and shifted to any other State / UT for higher studies or employment but continues to represent Delhi in sports competitions.
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Declaration :
I S/O or D/O declare that all the above information is true and will abide by Delhi Para Sports Association's rule and will abide by Delhi Para Sports Association's rule and regulation. If any information found wrong Delhi para Sports Association can take any action.
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