Registarion Form _Final_ by panniuniu

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									                                                    KERALA ART LOVERS ASSOCIATION
                                                  Office : Abassiya, Kuwait :: Telefax : 00965 - 4317875
                                               E-Mail : info@kalaonweb.com :: URL : www.kalaonweb.com
                                                           KALA SPORTS MEET - 2007
                                                                          FOR INDIANS IN KUWAIT
                                             ENTRY/REGISTRATION FORM
VENUE : KAIFAN AMATEUR ATHLETIC FEDERATION STADIUM, KUWAIT
DATE : 20 April 2007                                 Email us duly filled form to info@kalaonweb.com
Name                                                           Date of Birth
Civil ID No.:                                                  Phone:
                                                                 (Please tick
                                                                 appropriate
Gender            Male                Female                       column)
E-Mail ID                                                      Mobile
Address                                                        Employed with:




          EVENTS                   100 Meters     1500 Meters                  Long Jump   High Jump     Shot Put    Relay 4x100
                                 (Running Race) (Running Race)                                                         Meters

MEN (Under 35) Born After
       1-1-1971
 WOMEN (Under 35) Born
    After 1-1-1971                                          NA                                NA                    NA


          EVENTS                   50 Meters      100 Meters     800 Meters                Shot Put     Long Jump
                                 (Running Race) (Running Race) (Running Race)
   MEN (Above 35) Born
     before 1-1-1971            N.A
 WOMEN (Above 35) Born
    before 1-1-1971                                 N.A                   N.A                          N.A

          EVENTS                50 Meters      100 Meters     Shot Put
                                (Running Race) (Running Race)

   MEN (Above 45) Born
     before 1-1-1961            N.A
 WOMEN (Under 35) Born
   Before 1-1-1961                                  NA                    NA

          EVENTS                200 Meters          400 Meters
                                (Walk)              (Walk)
   MEN (Above 50) Born
     before 1-1-1956            NA
 WOMEN (Above 50) Born
    before 1-1-1956                                 NA


Note: Please put 'X' on the items you which to participate

DECLARATION : I wish to participate in the KALA SPORTS MEET - 2007 and the information furnished above are true to the best
of my knowledge. Further I agree to abide the rules of the Sports Meet - 2007.
  Signature of Participant



For OFFICE USE ONLY

Date              Chest No.           Category         No. of items                        Category
                                                                                            Charge


Notes :
1. KALA reserve the rights to cancel / disqualify the application forms
2. Our Judges decision will be final

								
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