Visvesvaraya Technological University, Belgaum Proforma of

VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELGAUM
PROFORMA OF PLAYERS REPRESENTING INTER-COLLEGIATE SPORTS TOURNAMENT 20
- 20
GAME _________________________________________________ ORGANISING COLLEGE __________________________________________
TOURNAMENT DATE FROM _______________________________ TO ______________________________
A
a)
b)
c)
d)
Name of the student
S/O ……………...
Sem / Branch
USN
B
Date of Birth
C
D
E
F
Name of
the course
a) Passing year of 10+2 (PUC)
b) Date of first admission to
present course
c)Date of admission to present
Class / Sem
Previous Year
Participation & Game /
Event
Photo
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G
Signature
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16
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PHYSICAL EDUCATION DIRECTOR
PRINCIPAL
(Signature with seal)
G