Application Form for Admission into Residential Sports School

Application Form for Admission into Residential Sports School, Itanagar

1.	Name of the Candidate (in block letters)	:
2.	Father's/Guardian's Name	:
	Present address in full	:
	Permanent address in full	:
	Occupation	:
	Monthly income	:
3.	Local guardian at Itanagar/Naharlagun (if any)	:
4.	Class in which studying (Certificate in this respect to be enclosed)	:
5.	School in which studying (Certificate in this respect to be enclosed)	:
6.	Date of Birth (Birth certificate to be enclosed)	:
7.	Age as on 1/12/2001	:
8.	Medical fitness certrificate (from a registered govt. doctor)	:
9.	Proficiency in Games/Sports	:
10.	Hobbies	:
11.	Character certificate (from the head of the institution attended last	:
12.	Other information worth mentioning(if any)	:
Declaration: I do hereby declare that the information given above are true to to the best of my knowledge and belief. Furher I will obey the rules and regulations of the Sports school, Itanagar and maintain descipline.

			Signature of the candidate in full Name:___________________

Counter signature of guardian