Badminton / Indoor Games Application Form

1Applicant

Name of Applicant

Category of Applicant *

Central Govt. Servant

Others

2Father / Mother / Guardian details (Central Govt. category — all fields mandatory)

Name of the Father/Mother/Guardian

Relationship with the Applicant

Designation

Office Tel. No.

Office Address

3Identity & Residence

Identity Card No.

Central Govt. servants: office identity card. Others: Aadhaar number.

Scanned Copy of Identity Card / Aadhaar

JPG, PNG or PDF, max 5 MB.

Residential Address

Scanned Copy of Residence Proof

JPG, PNG or PDF, max 5 MB.

Tel. No. (Res.)

Mobile No.

10-digit number; used to check your application status.

Email (optional)

4Game & Slot

Name of Game

Name of Samaj Sadan

Time Slot

Name of Group Leader

No. of Players (Maximum 4)

5Photos & Signature

Photo of the Applicants (Max 4) *

One passport-size photo per player — JPG/PNG, max 2 MB each.

Signature of Applicant (optional)

Scanned signature, JPG/PNG.

I declare that the information given above is true and correct, and I agree to abide by the rules of the Samaj Sadan. *