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LOSA 2010

TVS Lakshmi Matriculation Higher Secondary School, Madurai. ATHLETIC MEET-ENTRY FORM- SUPER SENIOR BOYS Name of the school & address:
Note :1 Only Two Competitors and one substitute for an event 2 Enter C for competitors and S for substitutes 3 Entry fee Rs. 100/-(if participating in all three categories) or Rs 50/- per category 4 Any 2-identification marks of the participant are to be filled at the backside of the entry form.
S.no Chest no. Competitor Name Std. Date of Birth Age 100 mts. 200 mts. 400 mts. 800 mts. 1500 mts. Long jump Shot Put Discus
4x100mts

Relay

Signature of the competitor

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.


I certify that above mentioned competitors are bonafide students of our school and that they are qualified to compete under Rules of the Association ______________________ __________________________ Date_____________ Physical Director Principal

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