Procedure to apply for AIFF D License Course
STEP 1: Fill the application form below
STEP 2: Make payment of Rs.12,000/- for the Course Fee (Available modes of payment and
Bank Details are given below)
STEP 3: Visit AIFF Coaching Portal: http://coaching.the-aiff.com/ and click ‘Register Here’
• Fill all the details and upload all the documents as asked on the registration
portal
• When asked whether you have any coaching license, please select ‘No’
• Submit the registration form. (On successful submission of your registration form
you will receive a confirmation email from AIFF with your Login Id and Password)
STEP 4: Once Step 1 to 3 are completed, you can either submit the application form at the
WIFA HQ in Mumbai or you can email us the below mentioned documents at
info@wifa.in
1. Scanned copy of the AIFF D License Course application form
2. Payment confirmation (PDF or Screenshot) of the fees paid for the course
NOTE: Only on the completion of all the four steps mentioned above, you will be allowed
to participate in the AIFF D License Course.
Bank Details:
Cash/NEFT/Cheque/DD
Acceptable mode of Payment: (Cheque and DD in favour of:
Western India Football Association)
Beneficiary’s name: Western India Football Association
Name of the Bank: Bank of Baroda
Branch Name: Nariman Point
STD Code & Tel. No. of the Bank: 022 – 22824001
IFS Code (IFSC) (11 digit): BARB0NARIMA
9 digit code MI.C.R. No. of the Bank: 400012050
Bank Account No. “C”, “D” & “E” License: 12920200002386
Account Type: Current Account
PAN No. of WIFA: AAATW0286E
GSTIN: 27AAATW0286E1ZH
Payment Mode: CASH/NEFT/CHEQUE/DD Jersey Size: _ _
DD/NEFT Number: _ _ Receipt No.:
Amount: INR Payment Date: _
DEPARTMENT OF COACH EDUCATION
PASSPORT
ALL INDIA FOOTBALL FEDERATION SIZE
PHOTO
DETAILS OF THE PARTICIPANTS
FOR THE ‘AIFF D LICENSE’ CERTIFICATE COURSES
Full Name:
(As in the passport)
Name to appear on the certificate:
Gender: Male Female (Tick mark where applicable)
Marital Status: Married Unmarried (Tick mark where applicable)
Nationality: Phone No.: _
Aadhaar or Passport No.: _
Date of Birth: _
Email ID: _
Coaching courses/qualifications completed*: _ _____________________________
_ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _
Coaching experience awarded since last license:
YEAR CLUB AGE GROUP COMPETITION DESIGNATION
Previous Certificate No. AIFF ‘Grassroots Leaders’/Other coaching courses*: _
_ _ _ _ _ _ _ _ _
Date and venue of the above courses completed*: _ _ _ __
_ _ _ _ _ _ _ _ _
Correspondence Address: _ _ __ _ _ _ _
_ _ _ _ _ _ _
_ _ _ _ _ _ _
_ _ _ _ _ _ _
Phone No.: _ _ _ _ Fax No.: _ _ _ _ _
Languages known: __ _ _ _ _ _ _ _ _ _
Representations/Playing experience*: _ _ _ __ _ _
_ _ _ _ ___ _ _ _ _
_ _ _ _ ___ _ _ _
Present job, employer and coaching assignments*: __ _ _ ____________
_ _ _ _ ___ _ _ _
_ _ _ _ ___ _ _ _
_ _ _ _ ___ _ _ _
_ _ _ _ ___ _ _ _
Academic and other qualifications*: _ _ _ _ _ _ __
_ _ _ _ ___ _ _ _
_ _ _ _ ___ _ _ _
_ _ _ _ ___ _ _ _ _
Reference:
Name: _ _ _ _ _ _ _ __
Contact No.: _ __
Email Id.: _ _ _ _ _ ___
Date ________________ Signature of the Candidate
Note: The candidate must produce a recent fitness certificate recognized by a MBBS
doctor (not older than 6 months) certifying that he/she is fit enough to perform all the
requested activities during the course.
