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Entry Form

This document is an entry form for the 37th Bro. C J Bergin Memorial Cricket Tournament 2025, submitted by Brainz Edu World School in Meerut. It includes sections for student information, coach details, and a declaration of responsibility for injuries during the tournament. The form requires signatures from the principal and includes a school seal for validation.

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12 views2 pages

Entry Form

This document is an entry form for the 37th Bro. C J Bergin Memorial Cricket Tournament 2025, submitted by Brainz Edu World School in Meerut. It includes sections for student information, coach details, and a declaration of responsibility for injuries during the tournament. The form requires signatures from the principal and includes a school seal for validation.

Uploaded by

vinay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ST.

MARY’S ACADEMY, MEERUT CANTT


th
37 Bro. C J Bergin Memorial Cricket Tournament - 2025
ENTRY FORM

Name of the school BRAINZ EDU WORLD


Address KILA ROAD, MEERUT, UTTAR PRADESH 250001

Phone Nos. ………………………………………………………………………………………………………………….


Email [email protected]

I.D. OF STUDENTS PLAYING IN THE TOURNAMENT

Name & Sign ______________ Name & Sign ______________ Name & Sign______________
___________________________ ___________________________ ___________________________
Class & Sec. ______________ Class & Sec. ______________ Class & Sec.______________
Date of Birth ______________ Date of Birth ______________ Date of Birth ______________
Admission No. ______________ Admission No. ______________ Admission No. ______________
Date of Admission ____________ Date of Admission ____________ Date of
Admission ____________

Name & Sign ______________ Name & Sign ______________ Name &
Sign______________
___________________________ ___________________________ ___________________________
Class & Sec. ______________ Class & Sec. ______________ Class & Sec. ______________
Date of Birth ______________ Date of Birth ______________ Date of Birth ______________
Admission No. ______________ Admission No. ______________ Admission No. ______________
Date of Admission ____________ Date of Admission ____________ Date of Admission ____________

Name & Sign ______________


Name & Sign ______________ Name & Sign
______________
___________________________ ___________________________ ___________________________
Class & Sec. ______________ Class & Sec. ______________ Class & Sec. ______________
Date of Birth ______________ Date of Birth ______________ Date of Birth ______________
Admission No. ______________ Admission No. ______________ Admission No.______________
Date of Admission ____________ Date of Admission ____________ Date of Admission ____________
Name & Sign ______________
Name & Sign ______________ Name &
Sign______________
___________________________ ___________________________ ___________________________
Class & Sec. ______________ Class & Sec. ______________ Class & Sec.______________
Date of Birth ______________ Date of Birth ______________ Date of Birth ______________
Admission No. ______________ Admission No. ______________ Admission No. ______________
Date of Admission ____________ Date of Admission ____________ Date of Admission ____________

To be To be
attested by attested by
the Principal the Principal

Name & Sign ______________ Name & Sign ______________ Name & Sign______________
___________________________ ___________________________ ___________________________
Class & Sec. ______________ Class & Sec. ______________ Class & Sec. ______________
Date of Birth ______________ Date of Birth ______________ Date of Birth ______________
Admission No. ______________ Admission No. ______________ Admission No. ______________
Date of Admission ____________ Date of Admission ____________ Date of Admission ____________

Name of the Coach Mr. DEVKI NANDAN GAUTAM Phone No. +91-7017296397

I have read the rules and regulations mentioned and on behalf of the school agree to abide by them and further state
that our school will be responsible for any injury sustained during the tournament and that no claims for
compensation will be made by us.

______________ ____________________

School Seal Signature of the Principal

Date: 17-APRIL-2025

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