Event level*

Senior Athlete

Athlete's Personal Information:

First Name*

Middle Name

Surname*

Father's Name

Father First Name*

Middle Name

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Father Surname*

Mother's Name (optional)

Mother's First Name

Middle Name

Surname

Phone Number*

Gender*

MaleFemale

Aadhar Card Number*

Blood Group*

(A+)(A-)(B+)(B-)(O+)(O-)(AB+)(AB-)

Khelo India ID

Birth Date*

District

State/Department:

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Residential Address of the Applicant (should be same as in Aadhar card)

Address line 1*

Address line 2

Pincode

City

State

Andhra PradeshAndaman and Nicobar IslandsArunachal PradeshAssamBiharChhattisgarhDadra & Nagar Haveli and Daman & DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabPuducherryRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Country

India

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E-mail*

Password*

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Documents submitted as proof:

Identity Proof*

- Aadhar Card- Passport- Voter Id with complete date of birth- Driving License- Certificate of Identity signed by Gazetted officer- Photo ID card submitted by Central Government, State Government or Public Sector Undertaking.- Central Government Health Scheme card or Ex-servicemen Contributory Health Scheme card

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Proof of Age*

- Aadhar Card- Passport- Voter Id with complete date of birth- Driving License- Birth Certificate Issued by Municipal Authority or any any other authority allowed to issue birth certificates- Matriculation Certificate or marksheet with DOB of recognized board- Domicile certificate issued by the government- Central Government Health Scheme card or Ex-servicemen Contributory Health Scheme card- Marriage certificate issued by Registrar of Marriages- Affidavit sworn before Magistrate mentioning date of birth

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Address Proof*

- Aadhar Card- Passport- Voter Id with complete date of birth- Driving License- Bank Statement not more than 3 months old with residential address- Gas bill not more than 3 months old- Water bill not more than 3 months old- Allotment letter of accommodation issued by central or state government (not more than 3 years old)- Certificate of address in original signed by Gazetted officer- Domicile certificate issued by the government- Landline connection bill not more than 3 months old

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I hereby declare that the information provided is true and correct, and I Accepting all terms and conditions.

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