Department of Sports and Youth Affairs Haryana, Sec -3, Panchkula.
Form available at Web site - haryanasports.gov.in
Monthly work report of Coach at District_____________For the month of the________________
The specific report to be typed in pen drive of each coach,DS&YAO, DDS Zonal, at Directorate & to be e-mail by
coach to DS&YAO,DDS Zone & Directorate before 5th of every month.
Coach I.D
D.D.S (Zonal) I.D
Coach Name
DS&YAO I.D
Directorate I.D
Contact No
Game /Sport
[email protected]
Venue of coaching
centre
Timings
Morning
to
a.m
Evening
to
p.m
Number of personal trainees selected and are regular at centre
SPAT( Nursery)
Academy
Wing
Others
Day boarding
Residential
Boys
Boys
Boys
Boys
Girls
Boys
Girls
Girls
Girls
Girls
Achievements of personal trainees & other assignment Championship Camps, Judging etc during the month .
Medal winners, Participents, Campers in numbers since April last year till date
Boys
Girls
Campers
Championship
Campers
Championship
International
Olympic,
Asian,
Common
Wealth, SAF,
World/Asia
Sub Jr.
Participant
Junior
Senior
(Cup/ Champ.)
National
Fedrations,
Schools,
Women
Festival,
A.I.I.U.,
PYKKA etc.
State
Associations,
schools,
Women
Festival,
PYKKA,
SPAT
Games
District
Associations,
schools,
Women
Festival,
PYKKA,
SPAT
Games
Medal winner
Sub Jr.
Junior
Senior
Sub Jr.
Junior
Senior
Sub Jr.
Junior
Senior
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Medal winner
Participation
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Medal winner
Participant
Total
I vouch that above mentioned achievements are achieved by my personal trainees and no other
coach is claiming them.
Signature of Coach
Coach’s Monthly Progress Report
Page 1 of 2
Department of Sports and Youth Affairs Haryana Sec -3, Panchkula
Inspection report of District Sports and Youth Affairs officer
Name of DSYAO__________________________ District_____________________
Name of coach
Sports persons
mentioned in
register
SPAT
(Nursery)
Date
Time of inspection
Achievement of personal trainees of coach at Block,
Distt., Zone, State SPAT games & Other Championships
Remarks
Present
Attendance
Absent
Academy
Training Schedule
available or not
Wing
Hall/Play field
Condition
Other
Any other
Observation
Yes
No
Poor / Good
/ Excellent
Total
Do you vouch achievement of the coach mentioned on both pages
Yes / No
Signature of DS &YAO
Inspection report of Deputy Director Sports Zone
Name of DDS Zonal________________________ Zone_____________________
Name of coach
Sports persons
mentioned in
register
SPAT
(Nursery)
Date
Time of inspection
Achievement of personal trainees of coach at Block,
Distt., Zone, State SPAT games & Other Championships
Remarks
Present
Attendance
Absent
Academy
Training Schedule
available or not
Wing
Hall/Play field
Condition
Other
Any other
Observation
Yes
No
Poor / Good
/ Excellent
Total
Do you vouch achievement of the coach mentioned on both pages
Yes / No
Signature of DDS Zone
Do you vouch achievement of the coach mentioned on both pages
Yes / No
Signature
Monitoring Cell
Officer Incharge
Coach’s Monthly Progress Report
Page 2 of 2