App No.
Date
Session FN AN
THE TAMIL NADU CRICKET ASSOCIATION
M.A. Chidambaram Stadium, Chepauk, Chennai 600005 – office@tnca.in
SELECTION FOR UNDER-19 CITY BOYS (ROUND ROBIN TEAMS) 2019-2020
ELIGIBILITY – BOYS BORN ON OR AFTER 01.09.2000
Name (in block letters)
Father / Guardian’s Name PHOTO
Address
Phone Mob1 Mob 2 e-mail
Date of Birth ( To be attested by
the Head of the Institution / DOB Age
Gazetted Officer for non-students)
If Born Outside Chennai
Place of Birth (Furnish proof of residence in Chennai
(Birth Certificate to be attached) City currently & for the past One year
Chennai YES NO or more)
Identity Card (to be furnished) PAN CARD: AADHAAR CARD:
Name of the School/College
(**)
Playing in TNCA League, if yes, Player
Player Code & name of the Code Club Name
Club TNCA
Have you played League
Cricket in any other States /
Tamil Nadu Districts
BATSMAN RH LH BOWLER RH LH
Wicket Keeper
a. Opening Bat a. Medium Pacer
Proficiency YES NO
(Tick whichever is applicable b. Top Order Bat b. Off Spinner
c. Middle Order Bat c. Leg Spinner
d. Left Arm Spinner
Performance details ( School /
Enclose the Scores in separate Sheet with the Signature of the Player
College/ League / City/State
Signature of the Parent / Guardian Signature of the Player
KIND ATTENTION – PLAYERS / PARENTS
(**) Bonafide Certificate from the School / College, should state the period for which the Candidate is a
Student of that School / College.
Documents to be furnished: Original Bonafide Certificage, Attested Copy of Birth Certificate & Aadhar
Card
Last Date for submission of filled forms: 05.06.2019 before 06.00 pm.