0% found this document useful (0 votes)
9 views7 pages

Swimming

Uploaded by

Suresh Suresh K
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
9 views7 pages

Swimming

Uploaded by

Suresh Suresh K
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 7

SWIMMING

ENTRY FORM 2025 – 2026


UNDER - 14 BOYS ( 6th Std to 9th Std)
REVENUE DISTRICT: EDUCATION DISTRICT :
BLOCK NAME: ZONE :
HM Mobile No,: SCHOOL UDISE No.
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School Email I.D.,

UNDER 14 6 TH STDTO 9TH STD 01.01.2012

EVENTS
S.

50 M Breast

50 M Butter
100 M Back
100 M Free

200 M Free
Std. EMIS.No

50 M Back

Individual
50 M Free

Butter Fly

Free Style
4x100 M

4x100 M
No Name of the Student Date of Birth

Medley

Medley
Stroke

Stroke

Stroke

Stroke
Breast
100 M

100 M

200M

Relay

Relay
Style

Style

Style

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING
ENTRY FORM 2025 – 2026
UNDER - 17 BOYS ( 6th Std to 12th Std)

REVENUE DISTRICT: EDUCATION DISTRICT :


BLOCK NAME: ZONE :
HM Mobile No,: SCHOOL UDISE No.
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School Email I.D:

UNDER 17 6TH STD TO 12TH STD 01.01.2009

EVENTS
S. Std

50 M Breast

50 M Butter
100 M Back

200 M Back
100 M Free

200 M Free

400 M Free
EMIS. No Date of

50 M Back

Individual

Individual
50 M Free

Butter Fly

Butter Fly

Free Style
4x100 M

4x100 M
No Name of the Student .

Medley
Medley

Medley
Stroke

Stroke

Stroke

Stroke

Stroke

Stroke
Breast

Breast
Birth

100 M

200 M

100 M

200 M

200 M

400 M

Relay

Relay
Style

Style

Style

Style

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING
ENTRY FORM 2025 – 2026
UNDER - 19 BOYS ( 6th Std to 12th Std)
REVENUE DISTRICT: EDUCATION DISTRICT :
BLOCK NAME : ZONE :
HM Mobile No,: SCHOOL UDISE No:
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School email I.D:
UNDER 19 6TH STD TO12TH STD 01.01.2007

EVENTS
S.

4x100 M Free

Medley Relay
100 M Breast

200 M Breast

100 M Butter

200 M Butter

1500 M Free
Std. EMIS. No Date of

50 M Breast

50 M Butter
100 M Back

200 M Back
100 M Free

200 M Free

400 M Free

Style Relay
50 M Back

Individual

Individual
50 M Free
No Name of the Student

4x100 M
Medley
Medley
Birth

Stroke

Stroke

Stroke

Stroke

Stroke

Stroke

200 M

400 M
Style

Style

Style

Style

Style
Fly

Fly

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING
ENTRY FORM 2025– 2026
UNDER - 14 GIRLS ( 6th Std to 9th Std)
REVENUE DISTRICT: EDUCATION DISTRICT :
BLOCK NAME: ZONE :
HM Mobile No,: SCHOOL UDISE No.
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School Email I.D.,

UNDER 14 6 TH STDTO 9TH STD 01.01.2012

EVENTS
S.

4x100 M Free
100 M Breast

100 M Butter
50 M Breast

50 M Butter
Std. EMIS. No Date of

100 M Back
100 M Free

200 M Free

Style Relay
50 M Back

Individual
50 M Free
No Name of the Student

4x100 M
Medley
Birth

Medley
Stroke

Stroke

Stroke

Stroke

200M

Relay
Style

Style

Style

Fly

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING
ENTRY FORM 2025 – 2026
UNDER - 17 GIRLS ( 6th Std to 12th Std)
REVENUE DISTRICT: EDUCATION DISTRICT :
BLOCK NAME: ZONE :
HM Mobile No,: SCHOOL UDISE No.
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School Email I.D:

UNDER 17 6TH STD TO 12TH STD 01.01.2009

EVENTS
S.

4x100 M Free

Medley Relay
100 M Breast

200 M Breast

100 M Butter

200 M Butter
50 M Breast

50 M Butter
Std. EMIS. No Date of

100 M Back

200 M Back
100 M Free

200 M Free

400 M Free

Style Relay
50 M Back

Individual

Individual
50 M Free
No Name of the Student

4x100 M
Medley
Medley
Birth

Stroke

Stroke

Stroke

Stroke

Stroke

Stroke

200 M

400 M
Style

Style

Style

Style

Fly

Fly

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING
ENTRY FORM 2025– 2026
UNDER - 19 GIRLS ( 6th Std to 12th Std)
REVENUE DISTRICT: EDUCATION DISTRICT :
BLOCK NAME : ZONE :
HM Mobile No,: SCHOOL UDISE No:
CATEGORY STANDARD BORN ON OR AFTER
Name & Address of the School & School email I.D:
UNDER 19 6TH STD TO12TH STD 01.01.2007

EVENTS
S.

50 M Breast

50 M Butter
100 M Back

200 M Back
100 M Free

200 M Free

400 M Free

800 M Free
Std. EMIS. No Date of

50 M Back

Individual

Individual
50 M Free

Butter Fly

Butter Fly

Free Style
4x100 M

4x100 M
No Name of the Student

Medley
Medley

Medley
Stroke

Stroke

Stroke

Stroke

Stroke

Stroke
Breast

Breast
100 M

100 M

200 M

200 M

400 M
Birth

Relay

Relay
Style

Style

Style

Style

Style
200

Fly
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. HEADMASTER


(MOBILE NO.)
SWIMMING INDIVIDUAL PHOTO IDENTITY FORM
2025- 2026
(For Individual Sports only)

1 Sports / Event SWIMMING/


Passport Size
2 Age Group 14 / 17 / 19 – Boys / Girls recent Photo
with School
Name of the Student Uniform
3
(in BLOCK LETTERS )
(Attested
4 Standard & Section by Head Master/
Principal with School
a) EMIS Number Seal)
5
b) Aadhaar Number

Date of Birth in figures


6
Date of Birth in words

Name of the School


7 with Address[ With PIN ]
/ School Seal.

8 SCHOOL UDISE NUMBER

9 Residential Address with


Contact Number
Parents Mobile No:

10 Name of the Zone

11 Name of the Education District

12 Name of the Revenue District

1.
13 Identification Marks
2.

In English :
14 Signature of the Student
In Tamil :

I certify that the particulars furnished above have been verified with reference to the
Information registered in the school record and found correct.

TEAM MANAGER NAME & SIGN.


(MOBILE NO.)
HEADMASTER

You might also like