FROM FOR ADMISSION TO THE SWIMMING CENTRE 1.Name of the applicant: ________________________________________ For Office Use 2. Name of the Institution/Deptt. __________________________________ Card no. ________ 3. Date of Birth: _______________________________________________ Receipt no.______ 4. Father's Name and Occupation: _________________________________ Dated. _________ ________________________________________________________ Amount. ________ 5. Address (a) Permanent _____________________________________ ______________________________________________________ (c) Correspondence. ___________________________________ ______________________________________________________ 6. Enrolment as regular trainee/casual swimmer as student or non student. _________________________________________________________________ 7. Membership (Fee Paid) Rs. ________________________________________________________ 8. It is certified that I have gone through the rules and regulations (overleaf) for the game of swimming and would abide them. 9. It is further certified that I have background of swimming/I have no background of swimming. I am taking the same at my own risk and responsibility. Signature of applicant: ____________ Signature of Father/Guardian: ________________ Photograph duly attested Recommendation of the Head of the Institution/Department Certified that applicant is a bonafide student/employee of this School/College/Office and all particulars given by him/her are correct according to the office record. The application is forwarded for enrolment as trainee/casual swimmer as student or non-student. In case of student member the application must be countersigned by the Head of the Institution recognized by the Government. Signature of Head of Institution/Department. (with seal) Recommended by the Swimming Coach: ___________________________ Recommended Pointed with Reasons: _____________________________ Signature of Swimming Coach: __________________________________
