Form-IX for Games/Sports (State School Team in the National Games)

FORM-IX

(For representing a State School Team in the National Games
For School in one of the recognized Games/Sports)

DIRECTORATE OF PUBLIC INSTRUCTION/EDUCATION
OF THE STATE OF_______________

Certified that Shri/Smt/Kumari___________________Son/wife/daughter of Shri ______________________resident of __________________(Complete address) Student of ____________represented the ______________State School Team in the game/event of _____________in National games held at _____________________from_______to_______ The position obtained by the individual/team in the above-said Competition/ Tournament was______________

The Certificate is being given on the basis of record available in the office of the Directorate of Public Instruction Education of _________

Place____________	Signature_____________
	Name________________
Date_____________	Designation___________
	Name of University______
	Address______________
	Seal

NOTE – This Certificate will be valid only when signed personally by the Director or Additional/Joint or Deputy Director in overall charge of sports/games for schools in the Directorate of Public Instruction/Education of the state.

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