BADMINTON ASSOCIATION SAMBALPUR
HOTA COMPLEX, MAIN ROAD, BUDHARAJA, SAMBALPUR PH: 9437179747 / 9853413858
DISTRICT CHAMPIONSHIP ENTRY FORM - 2025
FULL NAME:________________________________________________________________________________
DISTRICT ID:_______________________ MOBILE NO:___________________________________________
PARTICIPATION AGE CATEGORY:_________________________________________________
PARTICIPATING EVENT (SINGLES / DOUBLES / MIXED DOUBLES): _______________________________________________
IN CASE OF DOUBLES OR MIXED DOUBLES (PARTNER’S NAME & DISTRICT ID):
1.__________________________________________________________________________________________________
AMOUNT PAID:___________________________
*Sambalpur / Burla / Hirakud Contact- Abhisekh Biswas : 70086 13582 & Kuchinda / Rengali / Redakhol Contact- Lakshyapati Nanda:
98534 13858
*Tournament Rules & Regulations are applicable as per BAI & OSBA Guidelines.
* Last Date of entry for the Mini (U9 & U11), Sub Junior U13 / U15 / U17 event is 24.08.2025 and Junior U19 & Senior event is 14.09.2025
*Do not use one form for multiple entries. Use an individual form for each entry.
Signature
____________________________________________________
BADMINTON ASSOCIATION SAMBALPUR
HOTA COMPLEX, MAIN ROAD, BUDHARAJA, SAMBALPUR PH: 9437179747 / 9853413858
DISTRICT CHAMPIONSHIP ENTRY FORM - 2025
FULL NAME:________________________________________________________________________________
DISTRICT ID:_______________________ MOBILE NO:___________________________________________
PARTICIPATION AGE CATEGORY:_________________________________________________
PARTICIPATING EVENT (SINGLES / DOUBLES / MIXED DOUBLES): _______________________________________________
IN CASE OF DOUBLES OR MIXED DOUBLES (PARTNER’S NAME & DISTRICT ID):
1.__________________________________________________________________________________________________
AMOUNT PAID:___________________________
*Sambalpur / Burla / Hirakud Contact- Abhisekh Biswas : 70086 13582 & Kuchinda / Rengali / Redakhol Contact- Lakshyapati Nanda:
98534 13858
*Tournament Rules & Regulations are applicable as per BAI & OSBA Guidelines.
*Last Date of entry for the Mini (U9 & U11), Sub Junior U13 / U15 / U19 event is 24.08.2025 and Junior U17 & Senior event is 14.09.2025
*Do not use one form for multiple entries. Use an individual form for each entry.
Signature
____________________________________________________
