MADHYA PRADESH BADMINTON ASSOCIATION
AGE CERTIFICATE FOR PLAYERS
BAI ID (If issued)
1. Name in full: SINGH SOLANKI ABHIRAJ Photograph duly
(in Block letters. Surname a Must.) (Surname) (Name) Attested by the
2. Male / Female: Male School Head
Master / College
3. Father's name in full: Principal /Head of
SINGH SOLANKI ALOK
(in Block letters. Surname a Must.) organization or
(Surname) (Name)
4. Mother's name in full: Gazetted Officer
(in Block letters. Surname a Must.) SINGH SOLANKI PRITI
(Surname) (Name)
5. Date of Birth:
(Please attach attested copy of birth certificate 22 APRIL 2016
from the Birth Registering Authority) (Date) (Month) (Year)
6. Place of Birth:
GUNA GUNA M.P.
(Place) (District) (State)
7. Two identification marks:
a)
A BLACK MOLE ON STOMACH
b)
A BLACK MOLE ON RIGHT LEG
8. Communication address: MATAPURA FRIENDS COLONY CANT GUNA
Contact Number & E-mail ID : 9981422762 PRITISINGH10888@GAMIL.COM
9. Details of School / College /
Organization: a) Name:
VANDANA CONVENT SCHOOL
b) Postal address:
AB ROAD NEAR SOMYA MALL GUNA MP 473001
c) E-mail address: VANDANAVCSGUNA@GMAIL.COM d) Phone number: 8989887320
7 8
8. Age as at 1st January of the calendar year of the date of this certificate
(Years) (Months)
st
9. In case of students, class in which studying as at 1 January of the
calendar year of the date of this certificate
We confirm that the above information is true and correct. (Please ensure that the date of certifying this form is filled in space provided below.)
Signature of the Player Left Hand Thumb impression of player Signature of Parent (In case of Minor)
Signature of Hon. Secretary Signature of Hon. Secretary Signature of School Head Master /
of the Local/Club Association of the District Association College Principal / Organisation Head /
Gazetted Officer
Seal of the Local/Club Association Seal of the District Association Seal of the School / College / Organisation
Date: Date: Date:
Place: Place: Place:
Mandatory Documents to be attached : Birth Certificate & Affidavit
MADHYA PRADESH BADMINTON ASSOCIATION
AGE CERTIFICATE FOR PLAYERS
1) Name in Full :
(in Block letters Surname a must)
2) Details of each School / College/ Organization from KG
Name Postal Address Phone Numbers Studied in Year Class Studied
We confirm that the above information is true and correct. (Please ensure that the date of
certifying this form is filled in space provided below)
Signature of the Player Left Hand Thumb impression of Signature of Parent (In case of Minor)
player
Signature of Hon. Secretary Signature of Hon. Secretary Signature of School Head Master /
of the Local/Club Association of the District Association College Principal / Organisation Head /
Gazetted Officer
Seal of the Local/Club Association Seal of the District Association Seal of the School / College / Organisation
Date: Date: Date:
Place: Place: Place:
Madhya Pradesh Badminton Association
To be printed on the stamp paper of Rs:50/-
AFFIDAVIT
WE SRI ……………………………………. son of ………………………….. aged about …….. years by occupation
…………….AND SMT. ……………………………………. Wife of ………………………………. aged about …….. years by
occupation ……………., both being residents of …………………………………………….. under Police Station
…………………. District ……………………… having Pin Code No. ……………... and both being................ (set out
Religion) of Indian Domicile do hereby jointly and severally solemnly affirm, declare and undertake as
under:
1. That following our lawful marriage in accord with religious Rites and customs followed by
registration of marriage on ………day of ……….. we have been blessed with a son/daughter
born on …………………. at ……………………………………………………. (name & Address of the
Hospital/Nursing Home), who has since been named as “… .......................................... ”
and birth of the child has duly been registered with ……….………………………. (name of
Municipality/District Birth Registration Office/Panchayet) being the Registering Authority
on ....................................... A true authentic copy of the Birth Certificate issued by the
Registering Authority dated .......................... is annexed hereto as ANNEXURE “A”.
2. We jointly and severally hereby undertake and assure that the above Date of Birth of our
child “……………………………….” is true, correct and authentic and we have not suppressed
or concealed or manipulated the date of Birth or any fact AND agree to indemnify and
herby keep the ------------------------ District Badminton Association &
…………………. State Badminton Association and its every Official duly indemnified of all or
any prejudice if any suffered or caused on being detected any fraud or suppression or
concealment or fudging of the date of Birth of our above Child and we undertake and
warrant to accept any decision of the District Association & State Association including
damages, costs and consequences arising therefrom.
3. The statements made in the foregoing paragraphs are true to our respective knowledge
and nothing material has been suppressed.
IDENTIFIED BY ME
DEPONENTS.
ADVOCATE.
(Attention : Birth certificate to be attached with notary sign)
