Entry Form - OurDreamRun

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Entry Form - OurDreamRun
ENTRY / PROFILING FORM
SUBROTO CUP
INTERNATIONAL INTER-SCHOOL FOOTBALL TOURNAMENT 2015
SUBROTO QUALIFIER CUP DELHI-NCR
Instructions for registration (Read carefully):
§ Fields marked with (*) are mandatory. The form would be deemed incomplete without these.
§ Scanned copies of completed forms, duly signed and sealed by respective authorities, need to be sent to
[email protected] with the subject line: SUBROTO CUP ENTRY/PROFILING FORM – [School Name]
§ Last date for submission of registration forms is 21st March 2015
§ The form needs to be filled up in CAPITAL LETTERS
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Name of the School *: …………………………………………………………………
Name of the Athletics Department [SchoolName AthleticsDepttName]* (e.g. Pathway Panthers, Modern MadDogs,)
:………………………………………………….
Logo of the Athletics Department : [Attach Logo png file]
4.
School’s Full Address* : ………………………………………………………………………….
……………………………………………………………………………………………
…………..……………………………………………………………………………….
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Full Name of the Principal: ……………………………………………………………
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Full Name of the Manager: ……………………………………………………………
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Full Name of the Coach: ……………………………………………………………
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Full Name of the Captain: ……………………………………………………………
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Full Name of the Teacher–in–charge: ……………………………………………………………
10. Telephone/ Contact Number *
a. School telephone no: ………………………………….......
b. Principal telephone no: ………………............................…
c. Coach/Manager telephone no: .............................................
d. Teacher-in-Charge no: .........................................................
11. E-mail ID *
a. School email: ……………………………………………………………
b. Principal email: ………………............................................................…
c. Coach/Manager email: .............................................................................
d. Teacher-in-Charge no: ...........................................................................
5. 1st Color of the Team *: …………………… 6. 2nd Color of the Team * : ………………
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Name of Player (BLOCK Letters)
No.
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Email Addresses
Jersey No. Date of Birth
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*. A player to be eligible must be on the rolls of the school and should be born on or after 10 September 2000 (Sub-junior Boys (U15), 10 September 1998 (Junior Girls (U-17)) and 10 September 1998 (Junior Boys (U-17).
*. It must be borne in mind that these 16 names constitute the squad of the school for the entire duration of the tournament (Qualifier
Cup and Elite Cup inclusive)
*. Only 3 players out of this list may be changed, by giving Email/telephonic/fax intimation by 15th June 2015. (This exception has
been added keeping in mind new admissions during the new academic session).
I certify that the above named players are bonafide students of this school and are fully qualified to play for the school.
I agree with the regulations of the Cup (As attached in Appendix).
Entry/Profiling Fee of INR 500/- (INR Five Hundred Only) per child/player has been deposited in favor of OurDreamRun Digital
Services Pvt Ltd, Bank: HDFC, IFSC Code: HDFC0001202; vide transaction id / cheque no: ......................................... dated :
............................................. and drawn on Bank/Branch: ............................................... .
Place : …………………………… (APPROVAL OF PRINCIPAL)
*(Signature & Seal of Principal)
Date : *(Seal of School)
(DATE)
___________________________________________________________________________________________________________