എ ഇ ഒ പയ്യന്നൂര്‍

PAYYANUR SUBDISTRICT ATHLETIC MEET 2016-17

ENTRY FORM

NAME OF SCHOOL   .................................................

NAME OF TEAM MANAGER & Ph:

LP KIDDIES BOYS/GIRLS DATE OF BIRTH :BORN ON OR AFTER 01/01/20O7{UP TO 4^nd std}

Sl.No.	NAME	DOB	Admn.No.	50m	100m	LONG JUMP	4X100M RELAY
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        Certified that the above mentioned record is correct as per school records and my personal knowledge.

                                                                                                Signature with seal of the Head of Institution