ENTRY / PROFILING FORM SUBROTO CUP INTERNATIONAL INTER-SCHOOL FOOTBALL TOURNAMENT 2015 SUBROTO QUALIFIER CUP DELHI-NCR Instructions for registration (Read carefully): § Fields marked with (*) are mandatory. The form would be deemed incomplete without these. § Scanned copies of completed forms, duly signed and sealed by respective authorities, need to be sent to [email protected] with the subject line: SUBROTO CUP ENTRY/PROFILING FORM – [School Name] § Last date for submission of registration forms is 21st March 2015 § The form needs to be filled up in CAPITAL LETTERS ___________________________________________________________________________________________________________ 1. 2. 3. Name of the School *: ………………………………………………………………… Name of the Athletics Department [SchoolName AthleticsDepttName]* (e.g. Pathway Panthers, Modern MadDogs,) :…………………………………………………. Logo of the Athletics Department : [Attach Logo png file] 4. School’s Full Address* : …………………………………………………………………………. …………………………………………………………………………………………… …………..………………………………………………………………………………. 5. Full Name of the Principal: …………………………………………………………… 6. Full Name of the Manager: …………………………………………………………… 7. Full Name of the Coach: …………………………………………………………… 8. Full Name of the Captain: …………………………………………………………… 9. Full Name of the Teacher–in–charge: …………………………………………………………… 10. Telephone/ Contact Number * a. School telephone no: …………………………………....... b. Principal telephone no: ………………............................… c. Coach/Manager telephone no: ............................................. d. Teacher-in-Charge no: ......................................................... 11. E-mail ID * a. School email: …………………………………………………………… b. Principal email: ………………............................................................… c. Coach/Manager email: ............................................................................. d. Teacher-in-Charge no: ........................................................................... 5. 1st Color of the Team *: …………………… 6. 2nd Color of the Team * : ……………… Sl Name of Player (BLOCK Letters) No. 1. Email Addresses Jersey No. Date of Birth 2 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. *. A player to be eligible must be on the rolls of the school and should be born on or after 10 September 2000 (Sub-junior Boys (U15), 10 September 1998 (Junior Girls (U-17)) and 10 September 1998 (Junior Boys (U-17). *. It must be borne in mind that these 16 names constitute the squad of the school for the entire duration of the tournament (Qualifier Cup and Elite Cup inclusive) *. Only 3 players out of this list may be changed, by giving Email/telephonic/fax intimation by 15th June 2015. (This exception has been added keeping in mind new admissions during the new academic session). I certify that the above named players are bonafide students of this school and are fully qualified to play for the school. I agree with the regulations of the Cup (As attached in Appendix). Entry/Profiling Fee of INR 500/- (INR Five Hundred Only) per child/player has been deposited in favor of OurDreamRun Digital Services Pvt Ltd, Bank: HDFC, IFSC Code: HDFC0001202; vide transaction id / cheque no: ......................................... dated : ............................................. and drawn on Bank/Branch: ............................................... . Place : …………………………… (APPROVAL OF PRINCIPAL) *(Signature & Seal of Principal) Date : *(Seal of School) (DATE) ___________________________________________________________________________________________________________