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SPORTS AUTHORITY OF INDIA
( FORMAT OF APPLICATION )
Important Notes: (i) Before filling this form, read the instructions carefully. (ii) All entries should be made in CAPITAL
LETTERS. (iii) The Application to be made strictly in the following format and to be filled in ENGLISH Language only. (iv)
Kindly attached the documents viz. Domicile Certificate, 12th Class passed certificate for LDC and B.Com for Jr. Accountant,
Caste Certificate and Demand Draft, as applicable.
1. Candidate's Name (IN CAPITAL LETTERS) (please keep one box blank between name, middle name & surname)

2. Father's/Husband's Name (IN CAPITAL LETTERS) (please keep one box blank between name, middle name &
surname)

3. Date of Birth : 4. Age as on 01.01.2011

DAY MONTH YEAR YEAR MONTH
DAYS

5. Category (Please mark (√ ) tick 6. Sub-Category (Physically Challenged) / Ex Serviceman / J & K/Govt./Any other
Please indicate

Visually Deaf & Loco motor/ Ex-Serviceman (Self)/ J & K /

GEN OBC SC ST Challenged Dumb Ortho. Govt./Any other

7. Are you SAI Regular Employee [Write: Yes/No] 8. Are you SAI Adhoc /Daily Wage / Casual/Temporary/ 9. Gender (tick (√ )
Contract basis Employee (Wirte: Yes/No)

YES NO YES NO Male Female

10. 11. 12.

Post Applied (LDC/ Do you fulfil the eligibility criteria as If Applying for the Post of LDC
Jr. Accountant per the Advertisement [Yes/No] Write Typing Speed (in W.P.M.)
English Hindi

13. 14.
For the Post of LDC, indicate the Name of the For the Post of Jr. Accountant, Name the
Region/Sub-Centre from where class 12th passed Region / Sub-Centre from where B.Com
completed

15. 16.
Do you Posses If yes, write the name of State/UT from where Based on the Sl No. 15 and above
Domicile Certificate you obtained Domicile certificate (out of the please indicate
(Yes/No) Region/Sub Centres) Regional Name of the
Code Examination
Centre
`

17. Candidate's Address for communication (IN CAPITAL LETTERS)

Name :
Please affix one recent
passport size Photograph
Father’s Name :
without attestation
Address :

District :

State : Pin Code:

Contact : Tel. No. Mobile No.:

 Signature of Candidate 

18. Particulars of Demand Draft (if applicable)

DD.No. Date Name of Bank Branch Address Branch Amount (Rs.)
Code

Candidates Name, Father’s name, address, telephone number, date of birth and category should be written on the reverse side of the Demand
Draft

19. Educational Qualification (starting from 10th level)

S. Qualification Board/ Inst./Uni Marks Total Subject

No Obtained Marks

20. Experience

Designation Name of Office From To Total Experience

21. Permanent Address

Address :
:
Please affix one
recent passport size
District : attested Photograph
State :
Pin Code: :

DECLARATION
I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false or incorrect or not satisfying the prescribed eligibility
criteria for the post applied for, my candidature is liable to be cancelled / rejected at any stage of selection .

Place:

Date: (Signature of the Applicant)