National School Games - Certificate of Eligibility

GAME: Age Group:

UDISE CODE: SATS:

ADHAR NO:

ಭಾವಚಿತ್ರ
(Passport Size
Photo)
+ ಅಪ್ಲೋಡ್

Sl	Particulars / Field	Details
1	Name of the Participants
2	Father's Name
3	Name of the Institution
4	Institutional Full Address With Code No
5	Institution Phone No E-mail ID
6	Reg. No of SGFI (Last Year)
7	Date of Birth	1) In Figure: 2) In Words:
8	Discipline/Event
9	Passport No
10	Age in completed years as on 31 December 2026	Years: Months: Days:
11	Home Address With Phone No/Mob & E-mail ID
12	Admission No and Year
13	Date of Joining the School
14	Standard & Section Studying in this year
15	Standard Studying last year
16	Personal Identification Marks	1. 2.
17	Signature of the Participant
18	Track suit & Shoe size	Track suit size: Shoe size:

Certificate:
1. Certified that the above participant is a bonafide student of this Institution for the academic year.
2. Certified that I have personally verified the admission records maintained in the School and found correct.
3. Certificate that it is understood in the event of information furnished above found to be partly or wholly untrue, the above students is liable to be disqualified for a period of two years in case the students is a member of the team, then The participant is liable to be disqualified as a whole.

Signature of Competent Authority
Of State/UT/Unit with Seal

Signature with Seal
Manager/Coach
Post/degn:

Signature with Seal of the
Head of Institution/Principal/
Head Master

DECLARATION BY PARENTS/GUARDIAN: My Son/Daughter who is participating in at Competition is willingly Permitted by us compete in the above sports and games. We agreed to take the entire responsibility.

Personal Phone/Mobile No:

Competitor Signature

Signature of parent/guardian & address

ರಚನೆ: TEAM KSPSTADK