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Registration Form for Young Engagement in Sports & Physical Education
Note: It is mandatory to input your details as per School Record.
PERSONAL INFORMATION
First Name
*
Middle Name
Last Name
Father's Name
*
Mother's Name
*
Date of Birth
*
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Age (Years - Months - Days)
Gender
*
Select
Male
Female
Class/Grade
*
Select
9
10
11
12
Section (if applicable)
Student ID / Roll Number
*
Contact Number
*
Parent Contact Number
*
Email ID
*
Enter OTP Received on Email
Address
*
Don't Enter City/District, State, Pin Code in address
City / District
*
State / UT
*
Select a State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
PIN Code
*
Aadhaar Number
*
Apaar ID Number
*
SCHOOL DETAILS
Name of the School
*
Board Name of the School
*
Name of the Principal
*
School Contact Number
*
School Email Id
*
School Address
*
City / District
*
State / UT
*
Select a State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
PIN Code
*
Declaration by the Applicant
*
I hereby declare that the information furnished by me in this registration form is true and correct to the best of my knowledge. I further declare that I am medically fit to participate in the YESPE programme.
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