Jharkhand State Sports Promotion Society
(CCL– State Govt. Joint initiative)
Registration Form
Those Candidates are eligible whose Age lies between
31-Mar-2007
and
30-Sep-2008
Select Date of Birth:*
Select District:*
---Select District---
Bokaro
Chatra
Deoghar
Dhanbad
Dumka
East Singhbhum
Garhwa
Giridih
Godda
Gumla
Hazaribag
Jamtara
Khunti
Koderma
Latehar
Lohardaga
Pakur
Palamu
Ramgarh
Ranchi
Sahibganj
Seraikella Kharsawan
Simdega
West Singhbhum
Venue
Select District to get venue list
First Name:*
Middle Name:
Last Name:
Select Gender:*
--Select Gender--
Male
Female
Candidate's Adhar Card No (UID):
-
-
Father Name:*
Father's Adhar Card No (UID):
-
-
Address:*
District/City:*
---Select City---
Bokaro
Chatra
Deoghar
Dhanbad
Dumka
East Singhbhum
Garhwa
Giridih
Godda
Gumla
Hazaribag
Jamtara
Khunti
Koderma
Latehar
Lohardaga
Pakur
Palamu
Ramgarh
Ranchi
Sahibganj
Seraikella Kharsawan
Simdega
West Singhbhum
Pin/Zip:*
State:*
Jharkhand
Mobile No.1:*
Mobile No.2:
Studing In Class:*
--Select Class--
III
IV
Email Id (if any):
I am fully aware of the trials and hereby confirm that I shall not hold anyone responsible for any injury that may happen during the course of trials.