SKATER ANNUAL REGISTRATION 2023-24

SKATER REGISTRATION FORM

Registering District & State : Udaipur - Rajasthan
Residing District & State : Udaipur - Rajasthan
Registering Club : MAYANK SONI SKATING CLUB
Discipline : Speed-Quad

Application No :202320864
Date : 2023-08-04 03:02:48

Name : MRIDUL VARIN

Father Name : MANISH GUJRATI

Date of Birth : 11-Oct-2012

Age & Gender : 11 Male

Age Group : 11 to 14 - Sub Junior (as on 31-12-2023)

Fee : Rs.350/- for 1 Yr(s).
Blood Group : O+ Payment Status : Success
Order ID : 202320864
Phone & Email : 8600046902 | manish.gujrati210@gmail.com
Tracking ID : 112962041989
: FLAT NO 306, AKME PARADISE III, OPP APNA GHAR, NEAR TECHNOY MOTORS WORKSHOP, 60 Mode : Unified Payments
Res. Address
FT ROAD, GORVDHAN VILAS, UDAIPUR 313001 Date : 04/08/2023 08:32:34
Declaration
I hereby declare that
1. I am / was not a registered skater with a State / U.T Unit other than the present one.
2. As I am aware that only the Roller Skating Federation of India (RSFI) registered skaters are allowed to participate in Internationals, Asians and RSFI approved National – All India – Memorial –
Invitational Tournaments and the State / U.T Units approved State-District & Other local championship, hence I undertake not to participate in any competition & / or championship which does not
have approval of RSFI & State /U.T. Unit as mentioned above.
3. I do not take part in Ice skating or any other skating which is not in RSFI Discipline. In case i take part in any ice skating tournament or other than RSFI skating discipline i
take prior permission well in advance. 4. I have attached the proof of identity , Address and date of birth as per RSFI guidelines and I will produce necessary original
documents whenever asked by RSFI/State Association/District Association.
5. I understand that completing online registration and making fee payment does not mean the completion of registration process. My registration is subject to approval of District & State Units
and RSFI.
6. I accept to share the information provided by me to RSFI and any service providers associated with RSFI.
7. I accept to receive newsletters / any communications from RSFI in a form of mail, email, phone call, SMS.
8. All the information entered in the online registration system (as furnished above) are true and I am responsible for the correctness of the information provided.
9. I will accept any decision taken by RSFI if any of the information given above found wrong and the fee paid will be forfeited. RSFI holds all the rights to reject or cancel the registration of the
skater anytime.
10. I will produce all the original documents and supporting documents whenever necessarily asked by RSFI/State Association/District Association. I undertake to abide by all the rules and
regulations issued from time to time by RSFI/State Association/District Association.
11. I / My ward am/is aware that Rules and regulations are subject to change.
12. I hereby declare that all the information furnished by me is true and correct to the best of my knowledge and belief.
13. I undertake that I shall not drag the name of the Game & Championship in any adverse manner either on Social Media or in the print media.
14. I shall not oppose any decision taken in the view of betterment of the Game as well as Championship by my coach/ manager/ Organizing committee/ District/ State/ Federation.
15. I also undertake that I shall not cause any harm / damage to the reputation of the Game (Championship)/Players/Officials/Spectators and further undertake not to cause any damage to the
property during the Championship.
16. I hereby undertake that I shall abide by all the Rules & Regulations laid by the Championship committee for the smooth functioning and management of the Championship and if I fail to do so, I
would accept the action taken by District/State Association/Organizing Committee/Coach/Manager/Federation.
17. I / I on behalf of my ward undertake that I/ My ward shall not participate in any event organized other than C.B.S.E ,K.V.S , SGFI. Govt. Organization or any other event organized by OUR RSFI
STATE ASSOCIATION, DISTRICT ASSOCIATION & Roller Skating Federation of India. In case of breach of this undertaking RSFI/State Association/District Association will be free to take appropriate
Steps.
18. I / I on behalf of my ward undertake that for any injury/loss of any nature what so ever caused to me/my ward during the camp/championship in India, on or off the playing area or during the
journey, RSFI/its members/officials and or its State/U.T / District Units and its officials shall not be responsible and or liable to meet any expenses/damages whatsoever.
19. I / I on behalf of my ward shall take adequate accidental, medical, life insurance policies as they deem fit and at the beginning of the said tour/Championship/Tournament/Camp etc.
20. As i am aware that my / my ward's registration is subject to the approval of the District/ State / U.T Unit, so that i will submit the Form and documents to the Club/District/State unit as soon as
possible.
21. I/My Ward hereby confirm and declare that I/My Ward have/has not taken part in any Championship/Tournament held during 2023-24 which did not have the approval of RSFI/State/District Unit.
22. I/ I on behalf of My Ward declare that I/My ward shall not hold the organizer or any person from the Federation/association responsible for any Injury / Accident to me or my ward during
practice/Championship. I also declare that I shall not claim for any damages from the organisers / any member of the Association / The association for any incident / Injury / Accident to me or my
ward.
23. I/ I on behalf of My Ward declare that I/My ward shall not hold the organizer or any person from the Federation/association responsible for any Injury / Accident to me or my ward during
practice/Championship. I also declare that I shall not claim for any damages from the organisers / any member of the Association / The association for any incident / Injury / Accident to me or my
ward.
24. I agree to RSFI and organising committee to take bone test anytime during the championship or after the championship and I don't have any objection on that.

Consent for Authentication

I hereby consent to provide my/myward's e-Aadhaar, Aadhaar Number, Biometric and/or One Time Pin (OTP) data/e-Aadhaar password for Aadhaar based authentication for
the purpose of establishing my identity with RSFI Registration as well as to club all sport activities (i.e. Championships) through my Aadhaar number information by District,
State Units and RSFI. I have no objection in authenticating myself and fully understand that information provided by me shall be used for authenticating my identity through
Aadhaar Authentication System for the purpose stated above and no other purpose. I also understand that RSFI / State / District Units shall ensure security / confidentiality of
my personal identity data provided for the purpose of Aadhaar based authentication.

Signature of Skater Signature of Parent/Guardian

Seal & Signature of the Club Seal & Signature of the District Association

Seal & Signature of the State Association