Ministry of Youth Affairs and Sports Sponsored

National Workshop

On “Advance Training Methods and Orientation of New Trends of Sports Coaching in

Different Games” (ATMOTS-2018)

(November 19th to 25nd, 2018)

Registration form

1. Name of the Delegate :__________________________________________

2. Designation :__________________________________________

3. Affiliation/Organization :__________________________________________

4. State :__________________________________________

5. Mailing Address :__________________________________________

: _________________________________________

Telephone / Mobile No. : __________________________________________

Email :___________________________________________

6. Specialization : Athletics/Cricket/Hockey/Kabaddi/Volleyball (Please tick any one)

7. Accommodation : Required/ Not Required (Please tick any one)

8. Payment Registration Fee : Cash / D. D. No.__________ Date of issue: ________

Amount: Rs. 1500/- Bank/ Branch_________

Date: Place:

Signature of Delegate