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SANT GADGE BABA

AMRAVATI UNIVERSITY

YEAR
------------------------------

PLAYER’S ELIGIBILITY FORM

NAME OF THE COLLEGE ------------------------------------------------------------------- ---------------------------------------------- GAME--------------------------------------------- ( MEN/WOMEN) ZONE--------------------------------------------------

S.
No.

Name of Student

1

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Mother’s Name

2

Father’s Name

3

Surname

4

Enrollem
ent No.

5

Date of Birth

6

Date & Year of
Passing Qualifying
Examination for Fisrt
Admission to a
College/University
Name of
Date &
Exam
Year
7
8

Present
Class

Name of
the
Present
Course

Duration of
Course

Date & Year of
First Admission to

Univ.
9

10

11

12

13

Present
Course
14

Number of years of
previous
participation while
pursuing

Class

Graduate
Course

P.G.
Course

15

16

17

Name &
Year
of passing
last exam

18

NOTE : 1.Every Participating College shall depute a Full time permanent Staff member along with the team to look after its welfare.
2. Fill in all the provided columns; otherwise the form will be rejected.
3. Type the form with the help of the computer.
Director Physical Education

Principal
Seal of the college
ADDINTIONAL INFORMATION TO BE SUBMITTED

Date

(FOR CASES OF CHANGE IN COURSE/FACUTLY/ UNIVERSITY)
Name of the Players
S.No.

Name of Student

Father’s Name

Name of the Players
Surname

Name of
Previous
Class

Name of
New
Class

Name of
Previous
course/faculty

Name of New
Course/Faculty

Date & year of
joining
previous
course/faculty

For Migration
Date & Year of
changing to new
course/ faculty

Minimum academic
qualification for
admission to new
course / faculty

Name of
Previous
University

Date &
migration
Enrollment

01
02
03
04
05

Certified that the above particulars are true as per the college record.

Date _________ Seal of the college _________

Signature of Principal ________________

1. If the player’s eligibility form for the tournament is not received from the college duly filled in within the prescribed period, the college team will not
be allowed to participate in the tournament.
2. Incomplete information regarding any student will prevent him/her college from participating in the tournament
3. Every college shall submit the proforma
7 days before the commencement of the tournament to the person in charge and Director, Physical
Education SGBAU for scrutiny; else the team will not be allowed to participate.
4. For the verification of Birth date, only SSC certificate will be treated as valid certificate.
5. Any type of indisciplined behaviour on the play field during tournament by the players and teacher in charge will disqualify the team from further
participation and they will not be considered for selection trails for University team.
IMP: Teacher-in-charge must read the above rules and follow it strictly.
This is certifying that the above information regarding the players in this proforma are true as per college record and they are eligible to participate in
the University tournaments as per AIU. Player’s eligibility rules.
College Seal _________________________________
________________________

Signature of Teacher-in-charge _____________________________ Signature of Principal