SPORTS AUTHORITY OF INDIA NETAJI SUBHAS NATIONAL INSTITUTE OF SPORTS: PATIALA S.S. Roy Executive Director(Academics) Dr.B.S.Dhillon In charge ( Academics ) Tel: 0175-2211539 CIRCULAR Sub: SIX-WEEK CERTIFICATE COURSE IN YOGA FROM 24th Feb to 3rd April 2015 Sports Authority of India through its Academic Wing, NSNIS, Patiala, going to conduct Six-Week Certificate Course in Yoga from 24th Feb to 3rd April 2015 at NS,NIS Patiala. for men and women, having flair for games and sports and working in schools/colleges/universities/industrial houses and other agencies associated with sports. I. APPLICATION FORM: Application form may be obtained from the office of the Incharge (Academics), Sports Authority of India, Netaji Subhas National Institute of Sports, Old Moti Bagh, Patiala-147 001 or may be downloaded from our website “www.nsnis.org.” II. FEE PAYABLE The prescribed fee for the entire duration of the Six-week Certificate Course is Rs.14,150/- which includes lodging, boarding and other miscellaneous expenses. The fee shall be payable at the time of joining of the course by the selected candidates. III. ELIGIBILITY CRITERIA i) Educational Qualification: ii) Minimum 10+2 pass st Sports Achievements: nd rd a) 1 , 2 & 3 position holder in District Championship of Individual and Team Games/Sports. b) .. Participation in Championship State Championship/University [Preference will be given to the International Players, Physical Education Teachers, Social Workers and.sponsored.candidates.from.Institute/organizations (if fulfills required eligibility criteria)] IV. th AGE: 20-40 years as on 24 Feb 2015 Relaxation in Age: Relaxation in upper age limit upto five years will be given to the candidates belongs to SC/ST & North-.East area. V. DURATION OF THE COURSE: Six Weeks (24th Feb to 3rd April 2015) VI. .. ` PLAYING KIT: The selected candidates will have to bring the. following items of uniform, sports equipment and clothing for use during the course. VII. a) Uniform: Warm-up shoes, Game shoes, White socks, Vests, T-shirts, Shorts,Skirts (for female candidates) and Track-suits, etc. b) Clothing: The candidates selected for the course will have to bring personal bedding and clothing as per their requirement. SUBMISSION OF APPLICATION: Candidates desirous to get admission in Six-week Certificate Course is required to apply in the prescribed proforma and enclose a demand draft of Rs.500/- as application fee (nonrefundable) drawn on State Bank of Patiala OR State Bank of India, payable at Patiala,drawn in favour of ‘The Executive Director, SAI, NSNIS, Patiala’.The last date of receiving th application is 16 Febuary 2015 in the Office of the Incharge (Academics), Sports Authority of India, NetajiSubhas National Institute of Sports, Old MotiBagh, Patiala-147001. ` VIII. REJECTION OF APPLICATION: Incomplete applications, applications without attested copies of documents, applications received after the due date, application without the application fee of Rs.500/- and the applications not certified by Registered Medical Practitioner will be rejected/not considered. Note: 1. Sports Authority of India reserves the right to cancel a course or change the venue without assigning any reason. 2. Further information about the Certificate Course, if any, can be obtained from the Incharge (Academics), SAI NSNIS, Patiala-147 001, Tel:0175-2211539. (Dr. B.S. Dhillon) Incharge (Academics) SPORTS AUTHORITY OF INDIA NETAJI SUBHAS NATIONAL INSTITUE OF SPORTS: PATIALA Application form for admission to the six week certificate course in yoga from 2402-2015 to 03-04-2015 Sports Discipline : Yoga Centre of Training : Patiala Photo 1. Name of the candidate: ……………………………………………. (In block letters) 2. Date of birth ………………………………….. 3. a) Father’s Name & occupation-…………………………………………………… (In block letters) b) Husband’s Name & occupation……………………………………………… (In block letters) 4. Present correspondence Postal Address (in block letters) phone No. if any ……………………………………………………………………………………………… ……………………………………………………………………………………………… ………………………………………………………………………………. 5. State of Domicile………………………………………………………………….. . 6. If belongs to Schedule Caste/Tribe, please tick YES/NO…………. SC/ST……. 7. Academic qualification ……………………………………………………………. 8. Professional qualifications ………………………………………………………... 9. Proficiency in the game/sport in which you propose to undergo the course (Please attach attested photo copies of documents)………………………………….. 10 If employed, Designation and Name of the Institute/ Dept.. ………………….. 11. Particulars of the Demand Draft attached No………………………………… ..... Value…………………………………………………..Date………………………… Signature of the candidate Place & Date____________ RECOMMENDATION OF THE SPONSORING AUTHORITY Mr./Mrs./Miss ………………………………………………… is working in this Institute/ Establishment as………………............ since …………………………. on temporary/ permanent basis and recommended for admission. Place & Date____________ Authority Signature of Sponsoring Seal ___________________________________________________________________ TO BE CERTIFIED BY A REGISTERED MEDICAL PRACTITIONER I certify that I have this day carefully examined (Name………………………………) and I am satisfied beyond doubt that he/she is fully fit/not fit undergoing strenuous physical training programme involving risk of injuries. Signature of Registered Medical Practitioner Regd. No. ……………..……………… Name …………………………………….………….
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