MASTER BLASTER AWARD FOR THE YEAR 2014 FOR SCHOOL STUDENTS

Mission: 100 Medals in next Asian Games & 50 medals in Next Olympic Games.

Inspiration: This award dedicates to Sports Icon of India & Bharat Ratna SIR SACHIN TENDULKAR .
Aim: Its main aim is to promote all sports among our upcoming generation.

Eligibility:
Any school students who has represented in any games even at zonal level from any parts of India.

For the year 2013 with all the certificates of participation duly attested by the head of the school with following particulars.

Nomination form for the Next sports icon of India

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APPLICATION FORM

Name of the Student
Father’s Name
Mother’s Name
Name of the Game played :
at which Level Block/ Zonal/ District/ State/ National/ International
(Tick the appropriate level)

Name of the School , Address & Phone No.

Residential Address & Phone No.

Personal Email id:

I ________________________________s/o/ d/o ___________________________
solemnly declare and affirm that all the particulars are correct to the best of my knowledge &
belief, if anything found incorrect then my candidature may be cancelled immediately.

Signature of the student                      Father/ Mother’s Sign.

Attested by the Principal of the school

Date:                                             Place:

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Sportsperson/ lovers may come forward to make it a successful event.

Send above detail with attested certificates to info@dwarkaparichay.com
Address: Dwarka Parichay Pvt. Ltd. 301, Plot No.-9,

Vikas Surya Galaxy, Sector-4, Dwarka, New Delhi-110075

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