Player Name

Player Photo
*Choose passport size (Face) photo only

Gender
    Male     Female

Father Name

Mother Name

Date of Birth

Category Sub. JR. JR. SENIOR

Wheelchair
    Yes     No

Aadhaar No

Phone No

Email

Address

State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman & Nicobar Islands Chandigarh Delhi Jammu & Kashmir Ladakh Lakshadweep Puducherry

Imparment Intellectual Physically Cerebral Palsy

Category BC-1 BC-2 BC-3 BC-4 NEW

Category By International National New

Status Review New Confirm

Event 1
Individual

Event 2
Pair Team

2024

Receipt No.

Receipt Date

Receipt Photo

I am Agree with BSFI rules and regulations.