CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
ENTRY / ELIGIBILITY FORM
Name of the School______
______
Under – 12 years (Boys & Girls)
S.No. / EVENTS / BOYS / GIRLSName of Competitor / D.O.B. / Name of Competitor / D.O.B.
1 / 50m Free Style
2 / 100m Free Style
3 / 50m Back Stroke
4 / 50m Breast Stroke
5 / 50m Butterfly
6 / 200m Individual Medley *
7 / 4x50m Free Style Relay
(i)
(ii)
(iii)
(iv)
8 / 4x50m Medley Relay
(i)
(ii)
(iii)
(iv)
Name of the Coach______
Name of the Manager______
Certificate
(To be signed by the Principal)
Certified that above mentioned players are bonafide students of our school and are eligible as per rules circulated by CBSE for participation in CBSE EAST ZONE SWIMMING Championship 2012. The date of birth recorded against each name is correct as per the school records and true to the best of my knowledge.
Signature of the Principal
Name______
Seal______
CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
ENTRY / ELIGIBILITY FORM
Name of the School______
______
Under – 14 years (Boys & Girls)
S.No. / EVENTS / BOYS / GIRLSName of Competitor / D.O.B. / Name of Competitor / D.O.B.
1 / 50m Free Style
2 / 100m Free Style
3 / 200m Free Style*
4 / 50m Back Stroke
5 / 100mBack Stroke
6 / 50m Breast Stroke
7 / 100mBreast Stroke
8 / 50m ButterflyStroke
9 / 100mButterflyStroke
10 / 200m Individual Medley*
11 / 4x100m Free Style Relay
(i)
(ii)
(iii)
(iv)
12 / 4x100m Medley Relay
(i)
(ii)
(iii)
(iv)
Name of the Coach______
Name of the Manager______
Certificate
(To be signed by the Principal)
Certified that above mentioned players are bonafide students of our school and are eligible as per rules circulated by CBSE for participation in CBSE EAST ZONE SWIMMING Championship 2012. The date of birth recorded against each name is correct as per the school records and true to the best of my knowledge.
Signature of the Principal
Name______
Seal______
CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
ENTRY / ELIGIBILITY FORM
Name of the School______
______
Under – 16 years (Boys & Girls)
S.No. / EVENTS / BOYS / GIRLSName of Competitor / D.O.B. / Name of Competitor / D.O.B.
1 / 50m Free Style
2 / 100m Free Style
3 / 200m Free Style*
4 / 400m Free Style*
5 / 800m Free Style*
6 / 50m Back Stroke
7 / 100mBack Stroke
8 / 200mBack Stroke*
9 / 50m Breast Stroke
10 / 100mBreast Stroke
11 / 200mBreast Stroke*
12 / 50m ButterflyStroke
13 / 100mButterflyStroke
14 / 200mButterflyStroke*
15 / 200m Individual Medley *
16 / 4x100m Free Style Relay
(i)
(ii)
(iii)
(iv)
17 / 4x100m Medley Relay
(i)
(ii)
(iii)
(iv)
Name of the Coach______
Name of the Manager______
Certificate
(To be signed by the Principal)
Certified that above mentioned players are bonafide students of our school and are eligible as per rules circulated by CBSE for participation in CBSE EAST ZONE SWIMMING Championship 2012. The date of birth recorded against each name is correct as per the school records and true to the best of my knowledge.
Signature of the Principal
Name______
Seal______
CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
ENTRY / ELIGIBILITY FORM
Name of the School______
______
Under – 19 years (Boys & Girls)
S.No. / EVENTS / BOYS / GIRLSName of Competitor / D.O.B. / Name of Competitor / D.O.B.
1 / 50m Free Style
2 / 100m Free Style
3 / 200m Free Style*
4 / 400m Free Style*
5 / 800m Free Style (Girls)* / ------
6 / 1500m Free Style (Boys)* / ------
7 / 50m Back Stroke
8 / 100mBack Stroke
9 / 200mBack Stroke*
10 / 50m Breast Stroke
11 / 100mBreast Stroke
12 / 200mBreast Stroke*
13 / 50m ButterflyStroke
14 / 100mButterflyStroke
15 / 200mButterflyStroke*
16 / 200m Individual Medley *
17 / 400m Individual Medley*
18 / 4x100m Free Style Relay
(i)
(ii)
(iii)
(iv)
19 / 4x100m Medley Relay
(i)
(ii)
(iii)
(iv)
Name of the Coach______
Name of the Manager______
Certificate
(To be signed by the Principal)
Certified that above mentioned players are bonafide students of our school and are eligible as per rules circulated by CBSE for participation in CBSE EAST ZONE SWIMMING Championship 2012. The date of birth recorded against each name is correct as per the school records and true to the best of my knowledge.
Signature of the Principal
Name______
Seal______
CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
(To be filled and sent with eligibility form)
- School Details: -
Name & Address______
______
______
Name of the Principal______
Fax No.______
Phone No.(Office)______(Resi.)______
- Participants Details: -
(a)No. of Managers & Coaches Male______Female______Total______
(b)No. of participants (U-12 yrs.) Boys______Girls______Total______
(c)No. of participants (U-14 yrs.) Boys______Girls______Total______
(d)No. of participants (U-16 yrs.) Boys______Girls______Total______
(e)No. of participants (U-19 yrs.) Boys______Girls______Total______
- Arrivals Details: -
(a)Arrival in DelhiBus / TrainDate______Time______
(b)Train No. ______Name______
- No. of Bedding (If required)______
- Remarks if any______
Details of Breakfast, Lunch & Dinner required
25th September 2012Dinner______
26th September 2012Breakfast______
Lunch______
Dinner______
27th September 2012Breakfast______
Lunch______
Dinner______
28th September 2012 Breakfast______
Lunch______
Dinner______
29th September 2012 Breakfast______
Lunch______
Dinner______
CBSE Inter School Sports & Games Competitions 2012-13IDENTITY CARD
PHOTO OF THE STUDENT
(Signature of the Principal & School Seal on the Photograph in such a way that half are on photo & half outside the photo)
Countersignature of the Cluster/ Zone level competition organizing school Principal & School Seal / School Name :
Address :
Name of the Student :
Class & Section :
Admission No. :
CBSE Registration No.:
(Wherever applicable)
Date of Birth :
Game/Sport :
Cluster :
Zone :
Age Group :
Events :
CBSE Inter School Sports & Games Competitions 2012-13
IDENTITY CARD
PHOTO OF THE STUDENT
(Signature of the Principal & School Seal on the Photograph in such a way that half are on photo & half outside the photo)
Countersignature of the Cluster/ Zone level competition organizing school Principal & School Seal / School Name :
Address :
Name of the Student :
Class & Section :
Admission No. :
CBSE Registration No.:
(Wherever applicable)
Date of Birth :
Game/Sport :
Cluster :
Zone :
Age Group :
Events :
CBSE EAST ZONE SWIMMING Championship 2012
Organized by: - The Jain International School
Mainawati marg,Azad nagar,Bithoor road ,KANPUR (UP)
Photo of the team participating in the tournament along with the Principal
Name of the School ______
______
Office SealPrincipal Signature