Regd.No.

261/2003
THIRUVALLUR DISTRICT CRICKET ASSOCIATION
(Affiliated to Tamil Nadu Cricket Association)
No.212, MTH Road, Ambattur, Chennai - 600 053.
Phone : 2657 4242, 2657 0606, Telefax : 2657 4588
Web: thiruvallurdca.in. Email : thethiruvallurdca@yahoo.com

SELECTION TRIALS FOR THE YEAR - 2024 - 2025

UNDER -UUUUUUUUUU PASTE

Recent
Sl.No. Passport
Size
1. Name in BLOCK letters* : _____________________________________________ Color Photo
White
2. Father’s Name* : _____________________________________________ Back Ground

3. Date of Birth* Blood group

(Attach Online Birth Certificate)*
(Attach Online Birth Certificate with (QR Code) for proof of age)*

4. Birth Certificate No. :____________________________________________________________

Birth Certificate Place of Issue * :_____________________________Date of Issue*____________________

5. Residential Address** : ____________________________________________________________

(Attach residential Proof)** (Those residing within the boundary limit of Thiruvallur District eligible to apply)

____________________________________________________________

____________________________________________________________

____________________________________________________________

6. Aadhaar No.*** : ____________________________________________________________

7. Player Phone Number : ___________________________ Parent________________________

:Res.________________________Parent________________________

8. Name of the Institution : ____________________________________________________________

DECLARATION

I.………….…………………………............………..S/o………..………………………………………………
hereby declare that the above particulars are true and correct to the best of my knowledge and belief. If any
one of the stated particulars found to be false at a later stage, I take the full responsibility of the fact and abide by
the decision of TDCA. Further. I am attending Selections trails conducted by TDCA at my own risk. TDCA will not
be held responsible for any unforeseen Circumstances.

Signature of Parent/Guardian Signature of the Player

( for all Age category )
Batsman (Tick) Wicket – Keeper (Tick) All Rounder (Tick)

Mention Proficiency Mention Proficiency

RHB - Right Hand Bat RAMP - Right Arm Medium Pace
LHB - Left Hand Bat LAMP - Left Arm Medium Pace

Order Proficiency (Tick) Order Proficiency (Tick)

Opening Bat Medium Pace
TOB Off-Spin RAOS
Middle Order Leg Spin LS
Lower Order Left Arm Spin LAS

Please note that you will be subjected to medical test

*For each age category of selection, separate forms to be filled and each to be accompanied by
separate qualification Certificate (i.e) Birth and residential Qualification proof.
Those who are in the boundary limit of Thiruvallur District, eligible to apply.

The players can apply only, for one age category for which they are eligible.

Cut-off Date Born Selection Venue

Age Group on or after Date & Time
Woman’s Above 12 Years 11.04.2024 at 2.00 p.m.
Boys GOJAN SCHOOL OF
01.09.2012 11-04-2024 at 6-30 a.m
Under - 12 BUSINESS AND
Boys
01.09.2010 12-04-2024 at 6-30 a.m TECHNOLOGY,
Under - 14
Edapalayam,
Boys
Under - 16
01.09.2008 13-04-2024 at 6-30 a.m Redhills
Boys
01.09.2005 14-04-2024 at 6-30 a.m
Under - 19

Players should Carry, Last date of submission of

Breakfast & Lunch. completed application at TDCA Office
Cricket Kit at Your Own Risk – TDCA or ON OR BEFORE
College is not responsible for any Loss 31st March 2024
of Cricket Kits 08-00 p.m.

Application Forms can be downloaded from : thiruvallurdca.in

Venue : GOJAN SCHOOL OF BUSINESS & TECHNOLOGY, Edapalayam, Redhills.