Application Form for Admission into Residential Sports School, Itanagar 1. Name of the Candidate : (In block letters) 2. Father/Gardian'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 reading : (Certificate in this respect is to be enclosed) 5. School in which reading : (Certificate in this respect is to be enclosed) 6. Date of Birth : (Birth Certificate is to be enclosed) 7. Age as on 1/12/2008 : 8. Medical fitness certificate : (From a registered Govt. doctor) 9. Proficiency in Games/ Sports : 10. Hobbies : 11. Character Certificate : (From the Head of the Institution attended last) 12. Any other information worth to mention if any : DECLARATION I do hereby declare that the information given above are true to the best of my knowledge and belief. Further I will obey the rules and regulations of the Sports School, Itanagar and maintain discipline. Signature of the Candidate in full Name: _____________________ Counter Signature of Guardian
