UMIRE CLINIC

There will be an umpire clinic at Baripada during 16th to 19th November2017.
The explayers/Physical traning instructors/ex participant of shuttletimes/ who are under 40yrs on the even date are elligible to participate in the said clinic.The interested participant are requested to apply in below pescribed form along with Rs.1000.00 in shape of DD in favour of "Orissa State Badminton Association" payable at Cuttack by 12rh Novenber2017 to undersigned.
The free accomodation will be available .

PRADIP MOHANTY
SECRETARY
ORISSA STATE BADMINTON ASSOCIATION
KEONJHAR COLONY
KANIKA CHHAK
CUTTACK-753008
PH-9861032965
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                                                     APPLICATION FORM

NAME:
FATHERS NAME
ADDRESS:  (PRESENT)


                      (PERMANENT)

TEL NO:
E-MAIL aDDTESS:

EDUCATION:
DATE OF BIRTH:

DETAILS OF SPORTS ACTIVITIES:


WHY INTERESTED FOR UMPIRE CARRIER





DD NO                                       DATE




DATE                                                                                                       SIGNATURE


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