KSAA

Registration Form

Athlete Name

Gender

Female

Male

Cell Number

Father's Name

Mother's Name

District

Regd. Club/Institution

Representing Club/Institution

Upload photo

Please upload neat and clear passport size photograp*
(photo size should be of width X height : 200 X 200)

Date of Birth

Permanent Address (without PIN)

Permanent PIN

Present Address (without PIN)

Other Address

Current Coache's Name

Blood Group

Id Proof/Aadhar Number

Security Code

If Registration fails contact "District Secretary" Or Dr.Thankachan Mathew 98950 62630, Prof.M Velayudhan Kutty: 94471 65165

Registration Form