Name of the Athlete *
Father/Mother 's Name *
Mr.
Mrs.
Sri
Smt.
Phone No. *
Email
Date of Birth *
Date of Birth Certificate Issued By *
-- Select --
Birth & Death Registration Office of Municipal Corporation Birth & Death Registration Office of Nagar Mahapalika Birth & Death Registration Office of District Headquarters Birth & Death Registration Office of Village Headquarters Competent Board of State Government or Central Government
Attach Scanned Copy of Date of Birth Certificate * [Only Images (.jpg file extension) are allowed.]
Gender
Permanent Address *
Corresspondence Address
Pin Code
Attach Scanned Copy of Your Photo * [Only Images (.jpg file extension) are allowed.]
Select District *
-- Select District --
A.M.U.(Aligarh Muslim University) Aligarh Agra Aligarh Allahabad Ambedkar Nagar Amethi Amroha (J.P. Nagar) Auriya (T.A.U.) Ayodhya (T.A.U.) Azamgarh Bagpat Bahraich (T.A.U.) Ballia Banda Barabanki Bareilly Basti Bijnor Budaun Bulandshahar C.S.J.M. University, Kanpur Chandauli (T.A.U.) Deoria Etah Etawah Farrukhabad Fatehpur Firozabad (T.A.U.) Gautam Buddha Nagar Ghaziabad Ghazipur Gorakhpur Hamirpur Hapur Hardoi Hathras Jalaun Jaunpur Jhansi Kannauj Kanpur Kasganj (T.A.U.) Kushinagar Lakhimpur Kheri (T.A.U.) Lucknow Maharajganj Mainpuri Mathura Mau Meerut Mirzapur Moradabad Muzaffarnagar Pilibhit Pratapgarh Raebareli Ramabai Nagar (Kanpur Dehat) Saharanpur Sambhal Sant Kabir Nagar Shahjahanpur Shamli Siddharth Nagar Sitapur Sonbhadra Sultanpur U.P. (DSA) Northern Railway, Lucknow U.P. Police Sports Control Board, Lucknow U.P. Sports College, Lucknow Unnao Varanasi
Name of the registered Club/Institution
Select Event
-- Select Event --
60 Meters 80 meters 100 Meters 200 Meters 300 meter 400 Meters 600 Meters 800 Meters 1000 Meters 1500 Meters 2000 Meters 3000 Meters 5000 Meters 10,000 Meters 50 m Hurdles 60 m Hurdles 80m. Hurdles 100 m Hurdles 110 m Hurdles 400 m Hurdles 2000 m Steeple 3000 m steeple High Jump Pole Vault Long Jump Triple Jump Shot put Discus Hammer Javellin Ball Throw 4x100 m Relay 4x400 m Relay 4x400 m Mixed Relay Medlay Relay Trithlon Hexathlon Heptathlon Decathlon Pentathlon Octathlon Marathon Half Marathon 3000m RACE WALK 5000 m Walk 10,000 m walk 5 Km Walk 10 Km Walk 20000 m Race Walk 20 Km Walk 35 Km Race Walk 50 Km Walk 2Km Road Race 4Km Road Race 5 Km Road Race 6 Km Road Race 8 Km Road Race 10 Km Road Race 12 Km Road Race 20 Km Road Race
Select Age Group
-- Select Age Group --
Men Women Under 23 Years Under 20 Years Under 18 Years Under 16 Years Under 14 Years Under 12 Years Under 8 Years
Select Gender Group
-- Select Gender Group --
Men Women Under 23 Years Men Under 23 Years Women Junior Men - 20 Years Junior Women - 20 Years Boys - 18 Years Girls - 18 Years Boys - 16 Years Girls - 16 Years Boys - 14 Years Girls - 14 Years Boys - 12 Years Girls - 12 Years Boys - 8 Years Girls - 8 Years
Personal Best Performance
Seasonal Best Performance
Other Details
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