Goa University

ELIGIBILITY PROFORMA FOR NATIONAL UNIVERSITY GAMES

Name of the Tournament: Athletics Section: Men Name of the Manager: Dr.Rajan Mathew Name of the Coach: Mr. Digambar Narvekar Name of the Host University: Mangalore
University Zone All India Inter Zonal Yes/No Name of the Participating Goa University.

YEAR 2018-19

S.No Name of Father’s Date of College in which Date & Year of Passing Present Name of Duration Date & Year of Number of years Remark
Sportsperson Name Birth studying Qualifying Examination Class the of Course First Admission of previous
for First Admission to Present to participation
College/ University Course while pursuing
Name of Date & Year Univ Present Graduate P.G.
Exam Course Course Course
01 Bind Ajay Kumar Ram 15/05/1997 MES College HSSC MAR 15 M.Com -I M.Com 2 Years June15 June18 -- --
Ram
02 Khan Salman Imran 30/05/2000 Rosary College HSSC MAR 18 FY BA BA 3 Years June18 June18 -- --
03 Faleiro Antonio Ronaldo 27/05/1997 Fr. Agnel College HSSC MAR 18 FY BA BA 3 Years June18 June18 -- --
Ronaldo
04 Bharat Bhushan Arjun 08/08/1997 Fr. Agnel College HSSC MAR 17 SYB.Com B.Com 3 Years June17 June18 -- --
Sharma
05 Naik Pradyumn Gurudas 20/09/1998 DMs College HSSC MAR 18 FYB.Com B.Com 3 Years June18 June18 -- --
Gurudas
06 Mandal Saifur Rahim 21/05/2000 DMs College HSSC MAR 17 SYB.Com B.Com 3 Years June17 June18 -- --
Rahim Ab
07 Mishra Raju Suman 09/09/2000 DMs College HSSC MAR 18 FYB.Com B.Com 3 Years June18 June18 -- --
Suman
08 Vishwakarma Omkar 11/10/1999 DMs College HSSC MAR 18 FYB.Com B.Com 3 Years June18 June18 -- --
Vijay Omkar
09 Renati Venkata Narayan 15/01/1999 Vidya Prabodhini College HSSC MAR 18 FYB.Com B.Com 3 Years June18 June18 -- --
Sunil
10 Bandodkar Gurudas 28/03/1996 G R Kare Law College HSSC MAR 14 5th year L.L.B 5 Years June14 June18 -- --
Harshad Gurudas

Certified that the above particulars are correct and true as per records of the University.

MIGRATION CASES:

Certified that Sportsperson(s) listed at S.No.(s)______NIL____above is/are migration cases. He/she/they has/have been admitted to the University. __________________________
duly enrolled student(s) for ____________________ University courses/class of not less than one academic year’s duration for which examinations are also conducted by the
University. ___________________Seal of the University ___________________________ Signature of the Registrar/Secretary, Sports Committee ______________
 ADDITIONAL INFORMATION TO BE SUBMITTED FOR CHANGE IN COURSE/FACULTY

S.No. Name of Father’s Name of Name of Name of Name of new Date & year of Date & Year of Minimum academic Remarks
the player name previous new previous course/faculty joining previous changing to new qualifications of
class class course/faculty course/faculty course/faculty admission to new
course/faculty
a.
b.
c.
d.

Certified that the above particulars are correct and rue as per records of the University.

Further certified that no member of the team listed in this proforma has violated the following rule:
No player, who chose to play on behalf of the State team, in any tournament, without prior permission of the concerned university and in case of tournaments in which
Indian Universities teams are also participating, without prior permission of the Association of Indian Universities, shall be allowed to participate in any university, inter-
collegiate and inter-University tournaments. It was for the concerned university to take appropriate disciplinary action against players playing on behalf of State teams
without their permission as referred to in the preceding sentence.

Date _______________ Seal of the University _____________________ Signature of the Registrar/Secretary, Sports Committee _____________

IMPORTANT NOTE:

1. Only those universities shall be allowed to participate in this tournament which submit this proforma in quadruplicate complete in all respects to the Organising
Secretary in time as required under the rules. Before submitting the team to participate in this tournament, the Organising Secretary shall ensure that:
(i) Eligibility details as contained herein are neatly typed on this form and do not bear any unauthorized over writings.
(ii) The identity cards bear the photographs of the members of the team and their signatures are duly attested by the concerned Registrar/Secretary, Sports
Committee/Director of Physical Education under seal and the identity cards do not bear any unauthorized over-writings.
(iii) The eligibility details given herein have been thoroughly scrutinized and the Organising Secretary is satisfied that the members of the team are eligible to
participate in the tournament.
(iv) The university has submitted a declaration to the effect that they are not in arrears in respect of the current Annual Subscription or any other dues payable
to the AIU.
2. One copy of the proforma, out of the 4 received by the Zonal Organising University shall be returned to the qualifying university by the Organising Secretary of
the corresponding Zonal tournament, for submission to the Organising Secretary of the Iner-Zonals.
3. Immediately at the end of the tournament the Organising Secretary shall send to the Office of the AIU two copies of this proforma complete in all respect,
4. The following columns must be completed by the Organising Secretary:
i. Date of receipt of this proforma by the Organising Secretary ________________________
ii. Date of the first mach in the tournament of this University _________________________
5. The Organizing Secretary will sign the following certificate before allowing the team to participate in the tournament.
6. Certified that I have checked the eligibility particulars of the members of the team given herein and found them eligible.

Date _____________________ Signature of the IN-Charge Sports Section.