Symbol of the college
NAME OF THE COLLEGE / POLYTECHNIC IN
CAPITAL AND BOLD
/ POLYTECHNIC
ELIGIBILITY PROFORMA FOR INTER COLLEGIATE /
POLYTECHNIC TOURNAMENT
SN
1
1
2
3
4
5
Full Name
(in Capital)
2
RATHOD DIGVIJAY
JOSHI DRUV
VYAS SAGAR
JOSHI JAGDISH
BHEDA DILIPKUMAR
Name of the Tournament: ATHLETICS
Year: 2014-15
Father's Name
3
UMEDSINH
JITUBHAI
RAMESHBHAI
CHELAJI
NATHABHAI
University
Registration
No.
4
03-0113-2009
N5-0039-2009
N5-0060-2009
03-0093-2009
Date
of
Birth
5
18-11-1991
11-11-1991
18-07-1992
21-12-1990
19-12-1991
Date& Year of Passing
Qualifying Examination
for first admission to
a college/University
Name of
Date&
Exam
Year
6
H.S.C.
H.S.C.
H.S.C.
H.S.C.
H.S.C.
7
2009
2009
2009
2008
2009
Present
Class
8
8th Sem.
8th Sem.
8th Sem.
2nd Sem.
8th Sem.
Name
of the
Present
Course
9
B.Sc. (Forty.)
B.V.Sc.&A.H.
B.V.Sc.&A.H.
M.Sc. (Agri)
B.Sc. (Forty.)
Duration
of
Course
10
4 Years
5 Years
5 Years
2 Years
4 Years
Date& Year
of First Admi.
Uni.
Present
Course
11
2009
2009
2009
2008
2009
12
2009
2009
2009
2012
2009
1. Certified that above particulars are true as per records of the University.
2. Certified that above players are bonafied students of the colleges of the University.
3. Certified that above players are not employed on full time basis.
Date:______________
Seal of the college:__________________________
Signature of Principal: ___________________
Remarks
Manager: Dr. Milan P. Patel
Section Men/Women: MEN
13
Symbol of the
college
NAME OF THE COLLEGE IN CAPITAL AND BOLD
ELIGIBILITY PROFORMA FOR INTER COLLEGIATE TOURNAMENT
Athletics: Detail Entry: Men
Name of the event : Athletics (Men)
SN
Name of the Manager : Dr. MILAN P. PATEL
Name of the Athletes
RACES
100 Mtrs
1.
RATHOD DIGVIJAY UMEDSINH
2.
JOSHI DRUV JITUBHAI
3.
VYAS SAGAR RAMESHBHAI
4.
JOSHI JAGDISH CHELAJI
5.
BHEDA DILIPKUMAR NATHABHAI
200 Mtrs
400 Mtrs
THROWS
1500 Mtrs
4 x 100
Relay
YES
YES
Long
jump
YES
YES
YES
YES
YES
YES
Signature of the Team manager
Notes:
1.
2.
3.
4.
5.
Javelin
throw
YES
YES
Seal of the college
Discuss
throw
YES
6.
Date:
Shot put
JUMPS
Only two entries are permitted per event.
Mark the entry with YES in participating event.
An Athlete can participate in maximum three events excluding relay.
Please avoid corrections.
Add rows as per number of students.
YES
Signature of Principal
Symbol of the
college
NAME OF THE COLLEGE IN CAPITAL AND BOLD
ELIGIBILITY PROFORMA FOR INTER COLLEGIATE TOURNAMENT
Athletics: Detail Entry: Women
Name of the event : Athletics (Women)
SN
Name of the Manager : Dr. MILAN P. PATEL
Name of the Athletes
RACES
100 Mtrs
200 Mtrs
THROWS
400 Mtrs
4 x 100
Relay
Shot put
Discuss
throw
JUMPS
Long
jump
1.
2.
YES
YES
3.
4.
YES
YES
YES
YES
YES
5.
YES
YES
6.
Date:
YES
Seal of the college
Signature of the Team manager
Notes:
1.
2.
3.
4.
5.
Only two entries are permitted per event.
Mark the entry with YES in participating event.
An Athlete can participate in maximum three events excluding relay.
Please avoid corrections.
Add rows as per number of students.
YES
Signature of Principal
Symbol of the
Polytechnic
NAME OF THE POLYTECHNIC IN CAPITAL AND
BOLD
ELIGIBILITY PROFORMA FOR INTER POLYTECHNIC TOURNAMENT
Athletics: Detail Entry: Men
Name of the event : Athletics (Men)
SN
Name of the Manager : Dr. MILAN P. PATEL
Name of the Athletes
RACES
100 Mtrs
200 Mtrs
THROWS
400 Mtrs
4 x 100
Relay
Shot put
Discuss
throw
JUMPS
Long
jump
1.
2.
YES
YES
3.
4.
YES
YES
YES
YES
YES
5.
YES
YES
6.
Date:
YES
Seal of the college
Signature of the Team manager
Notes:
1.
2.
3.
4.
5.
Only two entries are permitted per event.
Mark the entry with YES in participating event.
An Athlete can participate in maximum three events excluding relay.
Please avoid corrections.
Add rows as per number of students.
YES
Signature of Principal
Symbol of the
Polytechnic
NAME OF THE POLYTECHNIC IN CAPITAL AND
BOLD
ELIGIBILITY PROFORMA FOR INTER POLYTECHNIC TOURNAMENT
Athletics: Detail Entry: Women
Name of the event : Athletics (Women)
SN
Name of the Manager : Dr. MILAN P. PATEL
Name of the Athletes
RACES
100 Mtrs
2.
YES
YES
3.
4.
Shot put
Discuss
throw
Long
jump
YES
YES
YES
YES
YES
5.
YES
6.
YES
YES
Seal of the college
Signature of the Team manager
Notes:
1.
2.
3.
4.
5.
4 x 100
Relay
JUMPS
YES
1.
Date:
200 Mtrs
THROWS
Only two entries are permitted per event.
Mark the entry with YES in participating event.
An Athlete can participate in maximum three events excluding relay.
Please avoid corrections.
Add rows as per number of students.
YES
Signature of Principal