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	SILIGURI TABLE TENNIS ACADEMY Rabindra Nagar, Siliguri, Darjeeling
ADMISSION FORM
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1. Name of the Applicant (Capital Letters)	:_______________________________________________________________
2. Father's Name (Capital Letters)	:_______________________________________________________________
3. Guardian's Name	:_______________________________________________________________
4. Present Address	:_______________________________________________________________ _______________________________________________________________
5. Name of the School	:_______________________________________________________________
6. Class Attending Now	:_______________________________________________________________
7. Date of Birth	:_______________________________________________________________
8. Name of Previous Club (if any)	:_______________________________________________________________
9.
a) If you are a Registered Player, Name the Authority & Address	:_______________________________________________________________
b) Mention the Period of Time You Played with	:_______________________________________________________________

        Declaration :

            I do hereby agree to abide by the rules of the Siliguri Table Tennis Academy.

The Ultimate Destination of Siliguri Table Tennis.