School Games Federation Of India

ATHLETICS GIRLS (U17) State: MAHARASHTRA

67TH NATIONAL SCHOOL GAMES, 2023-24
06-04-2024 to 09-04-2024, [PATNA.] (BIHAR)
Organized by: Bihar State Sports Authority, Patna, (Bihar)
Under the aegis of School Games Federation of India
ONLINE OFFICIAL ENTRY FORM
Name of school
Sl. Father's Date of
Event Reg No Name Class and SCH No/Adm Photograph
No Name Birth
No

4X100 SINHGAD SPRING

RUJULA AMOL AMOL 23-07-
1 RELAY,200 M 49046 11 DALE PUBLIC
BHONSLE BHONSLE 2007
RUN,100 M RUN SHCOOL, 837

PEMRAJ SARDA
4X100 DIVYANGI
KRUSHNA 16-04- COLLAGE
2 RELAY,100 M 49047 KRUSHNA 11
LANDE 2007 AHMEDNAGAR ,
RUN LANDE
25233

4X400 M BHOOMIKA
SANJAY 13-05- NASHIK CAMBRIDGE
3 RELAY,400 M 49048 SANJAY 9
NEHATE 2009 SCHOOL , 3949
RUN,200 M RUN NEHATE

4X400 M MANSI KRIDA PRABODINI

SHANTARAM 28-01-
4 RELAY,400 M 49049 SHANTARAM 10 BALEWADI PUNE ,
BHAREKAR 2008
RUN BHAREKAR 1497

800 M KASHISH MAHATMA GANDHI

HIVRAM 14-04-
5 RUN,4X400 M 49050 HIVRAM 10 ENGLISH MEDIUM
BHAGAT 2008
RELAY BHAGAT HIGH SCHOOL, 708

DIVYA PRASAD PRASAD 26-03- JAIHIND HIGH

6 800 M RUN 49051 9
GHODEKAR GHODEKAR 2009 SCHOOL , 28354

S.D.D. HINDU GIRLS

JANHAVI
DNYANESHWAR 04-03- HIGH SCHOOL
7 1500 M RUN 49052 DNYANESHWAR 10
HIRUDKAR 2008 MAHAL NAGPUR,
HIRUDKAR
7409

SARSWATI
GAYATRI AJIT 25-03-
8 1500 M RUN 49053 AJIT SHINDE 10 SECONDARYSCHOOL
SHINDE 2008
THANE, 13761

M R P H KANYA
PAURNIMA
BALWANT 18-12- VIDYALAY
9 3000 M RUN 49054 BALWANT 9
BHOYE 2008 TRIMBKESHWAR
BHOYE
NASHIK, 4185
 SHREE BHOJLING
ARYA AJINATH AJINATH 16-07-
10 3000 M RUN 49055 9 VIDYALAY JAMHU
KALEL KALEL 2009
AND MHASAD, 123

VEDANTI JAYPRAKASH
BALARAM 26-06-
11 3 KM WALK 49056 BALARAM 10 VIDYALAY KINI ,
MANGUTKAR 2008
MANGUTKAR 1680

SHRI SAIBABA
SAMRIN YUSUF 18-03- KANYA VIDYA
12 3 KM WALK 49057 YUSUF SAYYAD 10
SAYYAD 2009 MANDIR AND JR
COLLAGE , 3496

SWANANDI
SANTOSH 14-11- UDYACHAL HIGH
13 100 M HURDLE 49058 SANTOSH 9
SAWANT 2008 SCHOOL, 7015
SAWANT

KESHAVRAO PAWAR
SWARALI
SANTOSH 25-04- ENGLISH MEDIUM
14 100 M HURDLE 49059 SANTOSH 9
KUNDALE 2009 SCHOOL KARAD,
KUNDALE
1924

JANHAVI MUKTANGAN
LONG JUMP,400 MAHENDRA 04-03-
15 49060 MAHENDRA 10 ENGLISH MEDIUM
M HURDLE CHORAGHE 2008
CHORAGHE SCHHOL, 10757

VIDYA VIHAR
4X400 M CONVENT HIGH
SHREYA NITIN 01-04-
16 RELAY,400 M 49061 NITIN ITHAPE 10 SCHOOL AND JR
ITHAPE 2008
HURDLE COLLAGE
CHANDRAPUR , 123

PRIYA AMRITA VIDYALAYAM

RAVINDRA 12-05-
17 LONG JUMP 49062 RAVINDRA 10 AND JR COLLAGE
MARGAJ 2008
MARGAJ PUNE, 123

ANCHAL 13-02- FATHER AGNESLS

18 HIGH JUMP 49063 SAJESH PATIL 10
SAJESH PATIL 2008 MPS, 123

SHWETA
RAJARAM 12-09- H O C L SCHOOL
19 HIGH JUMP 49064 RAJARAM 9
BANKAR 2008 RASAYANI , 1969
BANKAR

VAISHNAVI 09-09- THANE POLICE

20 TRIPLE JUMP 49066 VIKAS GOPNAR 10
VIKAS GOPNAR 2008 SCHHOL, 2982
 RUSTOMJEE
JANAI RAJESH 19-07-
21 TRIPLE JUMP 49067 RAJESH PATIL 10 INERNATIONAL
PATIL 2008
SCHOOL, 9849

NEW ENGLISH
SIDDHI SCOOL ART AND
ANKUSH 29-10-
22 POLE VAULT 49068 ANKUSH 11 SCIENCE JR
DANVE 2007
DANVE COLLAGE SUPA ,
5214

SHRI
KAVERI PAPPU PAPPU 05-08- BHAIRAVANATH
23 POLE VAULT 49069 10
PATHARE PATHARE 2008 VIDYALAY
WALAVANE , 2142

The BOMBAY
ANVESHA
SAMEER 15-02- SUBURBAN GRAIN
24 SHOT PUT 49070 SAMEER 11
RAHATE 2008 DEALER S JR
RAHATE
COLLAGE , 4647117

MUKTANGAN
KAAVYA
YOGFESH 11-02- ENGLISH SCHOOL
25 SHOT PUT 49071 YOGFESH 10
KULKARNI 2008 AND JR COLLAGE ,
KULKARNI
10085

CHAITANYA
VEDIKA
SANDEEP 08-01- INTERNATIONAL
26 DISCUSS THROW 49072 SANDEEP 11
JAGTAP 2007 SCHOOL SAWAL
JAGTAP
BARAMATI, 2380

VPMS VIDYAMANDIR
GATHA 28-04-
27 DISCUSS THROW 49073 MAHESH KABIR 10 DAHISAR EST 68,
MAHESH KABIR 2009
4341

VEDIKA
HAMMER YOGESH 22-02- FRAVASHI ACADEMY
28 49074 YOGESH 11
THROW CHAVNAKE 2007 NASHIK, 123
CHAVNAKE

SHRIPATRAO TATAY
HAMMER SIDDHI AJIT 28-09-
29 49077 AJIT PATIL 11 KADAM PRASHALA
THROW PATIL 2007
AMBAK , 5050

PAWAR PUBLIC
SANAVI NIKHIL NIKHIL 06-03-
30 JAVELIN THROW 49078 9 SCHOOL NANDED
GAIKWAD GAIKWAD 2009
CITY PUNE , 1546

DURVA CHH SAMBHAJA

DATTATRAY 08-10-
31 JAVELIN THROW 49079 DATTATRAY 9 VIDYA SHIVNAGAR,
SHEWALE 2008
SHEWALE 12735
 SMT
4X400 M MIHIKA
VAIBHAV 15-10- SULOCHANADEVI
32 RELAY,4X100 49080 VAIBHAV 9
SURVE 2009 SINGHANIA SCHOOL
RELAY SURVE
, 12434

SANIKA ANANT ENGLISH

SHIVAJI 14-12-
33 4X100 RELAY 49082 SHIVAJI 10 SCHOOL SATARA,
NIPANE 2007
NIPANE 123

MOHARI DEVI
KHUSHI
PRAKASH 09-10- KHANDELWAL
34 4X100 RELAY 49083 PRAKASH 10
TAYADE 2007 KANYA VIDYALAY
TAYADE
AKOLA , 123

Name of coach: Poonam Navgire Name of manager:Varsha Koyachale

Affiliated Unit’s Agreement

I hereby agree to the following terms & conditions governing the online official entry from process of participation in
67th National School Games 2023-24 auspices in S.G.F.I.

1. I have gone through and understood the contents of information brochure and eligibility criteria prescribed there in.
I shall abide by rules & regulation of online official entry form process for participation in 67th National School Games
2023-24 as specified in the information brochure, rules & regulation of organization of National School Games.

I am aware of fact that in any unavoidable circumstances SGFI shall have the power to prepone, postpone or cancel
the said National School Games and SGFI is not liable for any financial loss occured in this situation.

2. I certify that the eligibility of players who’s official entry form is being filled has been fulfilled according to the
rules of championship and also certify that these players are students of class 12th or below class but not below 6th
Class. .

3. I declare that each one of our team’s players are born on or after date 01-01-2007 and hence they are eligible to
participate in their respective age group. I declare that in this calendar year 2023-24. The player mentioned above in
the official entry form shall participate in discipline as mentioned above only through the specified age group in the
official entry form and shall not participate through any other age group in same discipline.

4. I know that during verification of documents at the time of reporting, if any discrepancy is detected in original
document including name, father’s name, date of birth, class, admission number, school name, eligibility and gender,
then my unit’s team / subjected players participation will be liable to be cancelled.

5. I declare that I am aware that in the process of filling online entry form, after me completing the entry & once I
click on confirm & print button, then I cannot make any correction at my end. This would be considered as final entry
and accordingly S.G.F.I. will make the participation of such players and on the base of this the Identity Card,
Participation Certificate, Merit Certificate will be issued by S.G.F.I.

6. I declare that the information provided by me is genuine & authentic.

7. I declare that for the participation in National School Championship in which our team is participating we have
fulfilled all the required eligibility criteria for age & class in which the candidate is a regular student in recognized
schools in our unit administration.

8. I declare that I will not disclose or share the password & event code provided by SGFI for process of filling online
official entry form of above said championship with anybody. I understand that I am solely responsible for safeguarding
my password & event code and S.G.F.I. is not responsible for any misuse of my password & event code.

9. I declare that, I shall be responsible for the safety & comfort of players of my team during their travel from their
home to the venue of tournament and back to their home. The travel ticket expenses and the expenses during travel
will be borne by our unit. The food expense shall be completely borne by our unit during the tournament including
travel period. Our unit shall bear the expenses of kit, dress, etc provided to the players. Our unit shall provide medical
facilities to our team’s players. Our unit will also provide medical & accidental insurance to our team’s each and every
player & member.

10. I declare that I am very well aware of the fact that if any player is absent in tournament after filling the online
official entry form then it has to be intimated to organizer in writing at control room one day before the tournament.
If I fail to do so then I shall be liable for legal action under fraud case.

I am aware that I have to take the signature of all the players mentioned above in the attendance sheet provided by
SGFI office before participating in the said national school tournament and further the attendance sheet shall also be
counter signed by our unit,s coach & chief-de-mission and submit the same in the control room situated at the venue
of tournament one day before the tournament.

11. I hereby declare that I shall submit the following documents along with the printout of the official entry
form(Triplicate) which will be obtained after clicking on the confirm & print button. The print out of official entry
form shall be signed by the competent authority, coach & manager and with three copies of the same along with the
following documents shall be submitted by chief-de-mission in the control room situated at venue of tournament
mandatorily before one day prior to National School Tournament:

12. Online Official Entries for said tournament will be closed 5 days before tournament dates. The Final Print Out
before 5 days will be treated as final official entry form.

13. Rs. 200 eill be charged for issue of every duplicate Participation/Merit certificate of any National School Games
auspices in SGFI. Payment should be made in favour of "SCHOOL GAMES FEDERATION OF INDIA", payable by concerning
STATE/UT/UNIT.

1. Covering letter with authority letter (which is obtained after clicking confirm & print button along with
official entry form): Signed by the competent authority whose specimen signature was sent to S.G.F.I. office by the
competent authority at the time of annual recognition. - (One)

2. Eligibility certificate: Separate eligibility certificates of each & every player of the team issued by the school in
which the player is studying regularly and should have the signature of Principle / Head Master of school and further
countersigned by the competent authority of the unit/Authorized officer. - (Triplicate)

3. Birth certificate: Separate photo-copy of Birth certificates of each & every player of the team attested by
Gazetted officer. Only the birth certificate issued by the Statistic Department of state/UT Govt. /Central Govt. or
Municipal Corporation shall be acceptable. - (Triplicate)

4. Previous year final exam mark sheet: Separate photo-copy of Mark sheet of each & every player of the team,
attested by the Gazetted officer. - (Triplicate)

5. Registration + certificate + ID card fees: @ Rs. 200/- per player.

6. Copy of AADHAAR Card

I am aware that the participation of our above mentioned team will be confirmed only when the above
mentioned documents dully signed and registration fees is submitted at the control room situated at the venue
of the tournament one day before the National School Tournament and subject to validation of submitted
documents.

I hereby declare that I agree to all the terms & conditions of above said agreement from point number 1 to 13.

Signature of Competent Authority of State/UT/Unit

Signature of Coach:.............. Signature of Manager:............
(With Official Seal)
Name:............................ Name:............................
Name:............................
Original Post:................... Original Post:...................
Designation/Original Post:...................
Dept Address:.................... Dept Address:....................
Dept Address:....................
Mobile No:....................... Mobile No:.......................
Mobile No:.......................

Date &
Confirm & Print
Place:....................................................

Edit Back to event schedule page

AUTHORITY

It is certify that Sh._____________________ post _________________ office address ________________________ mobile

no. _____________________ is being authorized from our unit for sign of documents related above mentioned

tournament. The specimen signature of our above mentioned representative is certified, which is given below. Specimen

signature of authorized officer .......................................................................................................

Kindly allow our team to participate in the said tournaments.

Thanking you,

Seal and Signature of Competent Authority

(Competent Authority of affiliated unit)
Name
Post
Date:................ Office address
Place:............... Mobile / land line ine