Rajasthan swimming association

Registrations

First Name:*

Middle Name:

Last Name:

Father Name:

Mother Name:

Date Of Birth:*

Gender:

Male

Female

Pincode

State/UT:*

City:*

District:

Taluka:

Select Category:*

Sport:*

Event(s):

Mobile No.:*

Sizes (Track Suit / T-shirt / Pant / Shoes):

User Name:*

Email Id:*

Password:*

Confirm Password:*

Clear Form

Contact Information

Mobile No.:

Alternate Mobile No.:

Alternate Email Id:

Communication Address:

Permanent Address:

SAME AS ABOVE

Yes

Clear Form

Additional Information & Documents

Passport:

Aadhaar Card:

Voter ID/ Employment Certificate/ Domicile Certificate:

Birth Certificate:

SSC Certificate:

Bonafide Certificate:

Clear Form

Medical Information

Bonafide Weight (in Kgs):

height (in cms):

BMI:

Identification / Birth Mark:

A Mole in:

A Scar in:

Clear Form

Details of Educational Institutional

Institute Type:*

Institute Full Name:*

Class/Year:*

Section/Semester

Institute Address:*

Institute Phone Number:

Institute Landline Number:

Institute Email Id:

Clear Form

Details of sports

S.No.	Sport Name	Event Name	Category	Academy/Coach	Action
0

Details of Achievement

S.No.	Represented	Position	Discipline Name	Competition Name	Organizer	Place of Competition	Date of Competition (dd-mm-yyyy)	Record (If any)	Supporting Documents	Action
0

Details of Family Sports Person

Does any of your Family member is an Achiever in Sports?

Yes

S.No.	Name	Relation	Level	Game Name	Achievement	Action
0

Clear Form

Details of Known Health Issues/Allergies/Medications

Do you suffer from any illness/ Allergies ?

Yes

Are you taking any Medication ?

Yes

S.No.	Health Issue/Allergies/Medication	From Date (dd-mm-yyyy)	To Date (dd-mm-yyyy)	Details	Action
0

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SWIMMING

Registrations

Contact Information

Additional Information & Documents

Medical Information

Details of Educational Institutional

Details of Sports and Achievments

Details of sports

Details of Achievement

Details of Family Sports Person

Details of Known Health Issues/Allergies/Medications