UNIVERSITY OF CALICUT

DEPARTMENT OF PHYSICAL EDUCATION

ELIGIBILITY PROFORMA FOR INTER-COLLEGATE TOURNAMENTS 200….. –– 200……

MEN/WOMENPlease also see overleaf

Name of the Tournament………………………………………….……………………………………..…………………….……..…………….. P.Y.C. Camp/First stage/university team selection

Name of the Manager ……………………………………………………………… His/Her statue…….…………………………………………….. Address………………………………………………………………….

Venue of the Tournaments ………………………………………..……………… Zone……………………………………………… Name of the Participating College………………………………………………………

Sl.
No. / Name
(in block letters) / Father’s & Mother’s Name
(in block letter) / Home Address
(in block letters) / Date of birth / Date & Year of passing qualifying examination for first admission to a College/University / Present Class / Roll Number / Name of the Present Course / Duration of the Course / University Reg. No. / Date & Year of First admission to / Number of years of PreviousInter-University participation / Remarks
University / Present Course / Present Class
Name of Exam. / Year
Graduate Courses / P.G. Courses
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18

Certified that the above particulars are true as per the College records, Certified that the above players are set employed as full time basis

Date………………………(College Seal)Signature of the Principal

Note :- ADDITIONAL INFORMATION IS TO BE SUBMITTED ON THIS PROFORMA

For Cases of Migration, Change of Course, Diploma or Certificate Students, Students in Employment

Sl.
No. / NAME OF THE PLAYER / FOR MIGRATION CASES / FOR CHANGE OF COURSE / FOR DIPLOMA/CERTIFICATE STUDENTS / IF EMPLOYED
(Employed students full part-time not eligible) / Remarks
Name of the Previous College / Effective Date of Migration / Name of Previous Class / Name of the Previous course / Date of Changing the course / State whether post matric/ post-graduate course / Duration of
Course / NAME & ADDRESS OF THE EMPLOYER

Certified that the above particulars are true as per records of the College

Date………………….Seal of the CollegeSignature of the Principal

IMPORTANT NOTE

1)If this performa in all respect as required under the rules is not submitted in triplicate to the Organising Secretary in time, the concerned team shall under no circumstances be allowed to participate in the corresponding Tournament before permitting the team to participate it is a must to ensure that :

i)Eligibility details and the identity cards not have any unauthorized over-writing.

ii) The performa on which the eligibility details have been submitted must bear the stamp of the Department of Physical Education, University of Calicut.

iii) The identity cards must bear the photograph of the player and the signature duly attested by the Principal, Identity cards must be produced before the commencement of each game.

2)The performa filled in and duly signed by the Principal is to reach the Organising Secretary, Sub Convenor, atleast 2 hours before the commencement of the first match in games. In athletics the performa must be submitted as soon as the team reports at the venue of the meet.

3)The organizing Secretary/Sub Convenor will scrutinize this performa and satisfy himself that the members of the team are eligible to participate in the tournament.

4) Certified that there are not dues of the sports affiliation fee to the University during the current year as of date. Also certified that the previous years sports affiliation fee have been cleared by ………………………………………………….………… College ……………………………….………………………..

Date………………….Seal of the CollegeSignature of the Principal