PLAYER REGISTRATION FORM
FOR THE SEASON 2022 - 2023
For Office use only
Form No……… Reg. No………. Date………………………..
Name of Championship…………………………………………………………………………………………………………………..
Name of Selected Event: Single Double Mix Double Team Event
Name of Coach / Manager………………………………………………………………… ………. Sighn…………………………
PARTICULARS OF PLAYERS Date………………….
1. Full Name
2. Father’s Name
3. Mother’s Name
Day Month Year Birth Place
4. Date of birth
5. Age U14 U17 U19 U21 O21
6. Blood Group A+ B+ AB+ O+
A- B- AB- O-
Player’s
7. Gender Male Female Other
Photograph
8. You Played Minigolf:- Yes No I want to play
Which level of Minigolf Championship have you played:
District State National International
9. You Like to Play: Single event Double event
Mix Double Team event
10. Have you completed your covid vaccination Yes No
11. Mobile No.
12. E Mail Id
13. Do you have Passport: Yes No
Passport No.
14. Adhar No.
15. Name of District
16. Name of District Association Mini
17. Name of State Association MINIGOLF ASSOCIATION OF CHHATTISGARH
18. Name of School / Collage
19. Occupation Mini
20.Residental Address
S/O…………………………………………………………………………………………………………………………
…………………………………………………..ward no………………house no………………………………
City………………………………………………………..Pin…………………………………….……………………
District………………………………………………………………………………………………Chhattisgarh
Player Name & Sighn
……………………………………………………………………………
…………………………………………………………………………… Date……………………..
Pairents Name & Sighn
…………………………………………………………………………..
…………………………………………………………………………..
District President / Secretary Name & Sighn
………………………………………………………………………….
………………………………………………………………………….