Sports Management Courses 2017-18
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Online Application Form: Sports Management Courses
          Name *
Father’s Name
Mother’s Name
Date of Birth :                             Gender : Male Female
Address for Correspondence :
House No *            Street *
Area :
City *              Pincode *
State *
Applicant’s Mobile No *
  Email id

Academic Details :
Examination
Specify CBSE/ICSE/State/Others
Name of
Degree
Marks (%) /
Grade Point *
Specialization
Year of
Passing *
10th / Matriculation
NA
NA
II PUC / +2 /
Intermediate
NA
NA
Degree / Diploma
Post-graduation/Others
(if applicable)

Work Experience :
Work Experience, if any
Sports Achievements, if any

References:

Reference 1: Tel: Email:
Reference 2: Tel: Email:

Application fee & Payment Option:

Application fee is Rs. 250 (Rupees two hundred and fifty only).

Payment Option: Electronic Fund Transfer (EFT) at the following account number

Account Number: 0911930021
Kotak Mahindra Bank
Branch name: Park street, Kolkata-700016
IFSC: KKBK0000322
MICR: 700485002

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