BOXING

ENTRY FORM (UNDER - 14 BOYS) 2022 – 2023

Zone: Education District:

Revenue District: School name with Address & School email ID:

HM Mobile No.: UDIS Code No :

Weight
Sl.No. Name of the Student STD EMIS No. Date of Birth Signature of the Students
Categories
28 & ABOVE TO
1 BELOW 30

30 & ABOVE TO
2 BELOW 32

32 & ABOVE TO
3 BELOW 34

34 & ABOVE TO
4 BELOW 36

36 & ABOVE TO
5 BELOW 38

38 & ABOVE TO
6 BELOW 40

40 & ABOVE TO
7 BELOW 42

42 & ABOVE TO
8 BELOW 44

44 & ABOVE TO
9 BELOW 46

46 & ABOVE TO
10 BELOW 48

48 & ABOVE TO
11 BELOW 50

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

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 BOXING
ENTRY FORM (UNDER - 17 BOYS) 2022 – 2023
Zone: Education District:
Revenue
School name with Address & School email ID:
District:
HM Mobile
UDIS Code No.:
No.:
Weight
Sl.No. Name of the Student STD EMIS No. Date of Birth Signature of the Students
Categories
1 BELOW 46
46 & ABOVE TO
2 BELOW 48
48 & ABOVE TO
3 BELOW 50
50 & ABOVE TO
4 BELOW 52
52 & ABOVE TO
5 BELOW 54
54 & ABOVE TO
6 BELOW 57
57 & ABOVE TO
7 BELOW 60
60 & ABOVE TO
8 BELOW 63
63 & ABOVE TO
9 BELOW 66
66 & ABOVE TO
10 BELOW 70
70 & ABOVE TO
11 BELOW 75
75 & ABOVE TO
12 BELOW 80
13 80 & ABOVE 80

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

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 BOXING
ENTRY FORM (UNDER - 19 BOYS) 2022 – 2023

Zone: Education District:

Revenue
School name with Address & School email ID:
District:
HM Mobile
UDIS Code No.:
No.:
Weight
Sl.No. Name of the Student STD EMIS No. Date of Birth Signature of the Students
Categories
1 BELOW 46

46 & ABOVE TO
2 BELOW 49
49 & ABOVE TO
3 BELOW 52
52 & ABOVE TO
4 BELOW 56
56 & ABOVE TO
5 BELOW 60
60 & ABOVE TO
6 BELOW 64
64 & ABOVE TO
7 BELOW 69
69 & ABOVE TO
8 BELOW 75
75 & ABOVE TO
9 BELOW 81
81 & ABOVE TO
10 BELOW 91

11 91 & ABOVE 91

[Two copies of Individual Photo Identity to be produced along with the Entry Forms]
TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER
 BOXING
ENTRY FORM (UNDER - 14 GIRLS) 2022 – 2023
Zone: Education District:
Revenue
School name with Address & School email ID:
District:
HM Mobile
UDIS Code No.:
No.:
Weight
Sl.No. Name of the Student STD EMIS No. Date of Birth Signature of the Students
Categories
28 & ABOVE TO
1 BELOW 30

30 & ABOVE TO
2 BELOW 32

32 & ABOVE TO
3 BELOW 34

34 & ABOVE TO
4 BELOW 36

36 & ABOVE TO
5 BELOW 38

38 & ABOVE TO
6 BELOW 40

40 & ABOVE TO
7 BELOW 42

42 & ABOVE TO
8 BELOW 44

44 & ABOVE TO
9 BELOW 46

46 & ABOVE TO
10 BELOW 48

48 & ABOVE TO
11 BELOW 50

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

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 BOXING
ENTRY FORM (UNDER - 17 GIRLS) 2022 – 2023
Zone: Education District:
Revenue
School name with Address & School email ID:
District:
HM Mobile
UDIS Code No.:
No.:
Weight
S.No. Name of the Student Std. EMIS No. Date of Birth Signature of the Students
Categories

1 BELOW 42

42 & ABOVE TO
2 BELOW 44
44 & ABOVE TO
3 BELOW 46
46 & ABOVE TO
4 BELOW 48
48 & ABOVE TO
5 BELOW 50
50 & ABOVE TO
6 BELOW 52
52 & ABOVE TO
7 BELOW 54
54 & ABOVE TO
8 BELOW 57
57 & ABOVE TO
9 BELOW 60
60 & ABOVE TO
10 BELOW 63
63 & ABOVE TO
11 BELOW 66
66 & ABOVE TO
12 BELOW 70
70 & ABOVE TO
13 BELOW 75
75 & ABOVE TO
14 BELOW 80
80 & ABOVE
15 80
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 BOXING
ENTRY FORM (UNDER - 19 GIRLS) 2022 – 2023

Zone: Education District:

Revenue
School name with Address & School email ID:
District:
HM Mobile
UDIS Code No.:
No.:
Weight
S.No. Name of the Student Std. EMIS No. Date of Birth Signature of the Students
Categories
1 BELOW 45
45 & ABOVE TO
2 BELOW 48
48 & ABOVE TO
3 BELOW 51
51 & ABOVE TO
4 BELOW 54
54 & ABOVE TO
5 BELOW 57
57 & ABOVE TO
6 BELOW 60
60 & ABOVE TO
7 BELOW 64
64 & ABOVE TO
8 BELOW 66
66 & ABOVE TO
9 BELOW 69
69 & ABOVE TO
10 BELOW 75
75 & ABOVE TO
11 BELOW 81
81 & ABOVE
12 81
[Two copies of Individual Photo Identity to be produced along with the Entry Forms]

TEAM MANAGER NAME & SIGN. (MOBILE NO.) HEADMASTER

 BOXING INDIVIDUAL PHOTO IDENTITY FORM
2022 - 2023
(For Individual Sports only)

1 Sports / Game / Weight Category BOXING /

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

c) 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 Residential Address with

Contact Number
Parents Mobile No:

9 Name of the Zone

10 Name of the Education District

11 Name of the Revenue District

1.
12 Identification Marks
2.

In English :
13 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