Form No.______ Gujarat Technological University Major Dhyanchand Gymnasium Admission Form 1. Full Name:.________________________________________________________ 2. Full Address - _____________________________________________________ Passport Size Photo _____________________________________________________ 3. Mo. No - ________________. Email ID - ________________________________ 4. GTU Staff GTU Student Other Staff 5. Details of other staff -________________________________________________ 6. GTU Staff / Student Information - _______________________________________ 7. Time - (1) Male- 5 to 6 Morning 6 to 7 Evening ( ) Female – 8 to 9 Morning 4 to 5 Evening 6 to 7 Morning 7 to 8 Evening 7 to 8 Morning 9 to 10 Morning 6 to 7 Evening ( ) Common Time - 10 to 11 Morning 8 to 9 Night 9 to 10 Night (4) Candidate convenient Time:___________________________________ ..................................................................................................................................................................... Undertaking Date - _____________ I___________________________Undersigned that I will follow all the rules and regulations of the Gymnasium. I will not be disciplined or misbehaved during the gymnasium and I will abide by the time limit.I will also abide by the rules that will be made from time to time by the administrator /organization. Place- ............................. Date - ........................... Sign.............................. Note: Pay fees After Approval from Sports section A-308 .................................................................................................................................................................... * For office use * Date - ........................ Hence the Gym member ______________________________________ enter in the gymnasium during _________________________time for 3months/6 Month/1 Year. Sports Officer GTU
