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RC BTTR-2, fF.20.¥.200% DANTE) uiefire-2 ‘Fiear attire sratfresrat Tene, afters arate ART Ges TPTATUT aes 2) seat as) TR) rah eater 2) are Re) eect 2) aie defer 26) Aare eae 2) See te) aichater a) daar 2) sine aire 3) daaten ) Sefefter *) faferrd gor ae 20) aRraae ¥) Sefer eo) Refer 4) afer 22) aataiiot 4) sift 22) eet 8) fe 2) arifea &) arehemin «= 22) araasiet \9) dist freed 3) arama 6) aawferr 23) eater ¢) aa Qe) ape ¢) farrier 2x) diet 8) sem 24) an 8) aussie Fae 29) wre RA) Ricifter to) wat Qu) Sree slug enh ) AeRGia 2) ae eeq 3) wat 2) ARTaia 22) santa faertha 92) ahat 2s) RT 83) aTePaifin 22) AT 8) Mia tc) ae x) ott 28) atafterm ww) Taw 8) dish feet 4) cierfafier 30) fanaa a) ter 30) srearreat a) den eed 32) argaeiel = ta) dame at) ein FER aioe arate frome 2) fan 2) aa 3) fare wy) Ties 4) weer &) Wivesier [eatin watesr odie Selgrnl ier amar walle Gate ae ees sdANNEXURE Proforma of the annual statement to be filled by each Mantralaya Department/Head of Department regarding rectuitment of meritorious sport-~aen.(Use seperate forms for each group). STATEMENT SHOWING ..........+ OF SPORTSMEN APPOINTED TO GROUP A/ B/C/D POSTS/SERVICES DURING THE YEAR ENDING 31ST DECEMBER 200 S.No. | Name of | No. of Sportsmen appointed to Group - Name of the Mantralaya posts game & No. Deptt/Head of appointed Deptt. _| against each In the | In other | Total Mantralaya | Offices Deptts. ¢ |. 1 2 3 4 5 6 Category-wise breakup of the sportsmen appointed during the year mentioned in Col.5. Participation in International Competitions. Participation in National Competitions. Participation in Inter University Tournament. Participation in National School Games Competitions. PyYNr ( Under Sec: Head-of Department.ANNEXURE FORM -1 (Specimen forms for representing India in an International Competition in one of the recognised Games/Sports). NATIONAL FEDERATION/NATIONAL ASSOCIATION OF... Certified to a meritorious sportsmen for employment to Group _—Service under the State Government. Certified that Shri/Smt./Kumazi.... Son/Wife/Daughter of Shri resident .....tepresented the country in the game/ ompetition/Tournament The Certificate is being given on the basis of record available in the office of National Federation / National Association of PLACE... eessessseccsseeseeeneeeeneeeee Signature. Date..cessseccecsscssesecteeneeneereesees Name... Designation.. Name of the Federation / National Association...... Address. Seal... Note:-This Certificate will be valid only when signed personally by the Secretary, National Federation/ National Association. Attested by The Authority of the Director of Sports & Youth ServicesFORM -2 ( for representing a State in India in a National Competition in one of the recognised Games/Sports). STATE ASSOCIATION OF Certified to a meritorious sportsmen for employment to Group Service under the State Government. , Certified that Shri/Smt./Kumari, Son/Wife/Daughter of Shri . resident .represented the State of (complete address) in the game /event of. Competition/Tournament held ai from ... in the National 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 $ ate Association of Note:-This Certificate will be valid only when signed personally by the Secretary of the State Association. Attested by The Authority of the Director of Sports & Youth ServicesFORM -3 (for representing a State School Team in the National Games for School in one of the recognised Games/Sports). Directorate of Sports & Youth Services of the State of Maharashtra , Certified to a meritorious sportsmen for employment to Group Service under the State Government. Certified - ~ that Shri/Smt/Kumazi...... Son/Wife/Daughter of Shi resident ” State School in the to The position obtained by the individual/team in the above said Competition/Tournament was ...... eeteee The Certificate is being given on the basis of record available in the office of Directorate of Sports & Youth Services of Maharashtra. Signature. Name of the Federation / National Association Note:—-This Certificate will be valid only when signed personally by the Director of Additional/Joint or Deputy Director in overall charge of Sports/Games/ for Schools in the Directorate of Sports & Youth Services of the State. The Authority of the Director of Sports & Youth ServicesANNEXURE FORM -4 (for the awardees in NCC performances conducted by the Ministry of Education & Social Welfare) Government of India/Ministry of Education & Social Welfare Certified to a meritorious N.C.C. men for employment to a Group Service under the State Government. Certified - that Shri/Smt/Kumari, Son/Wife/Daughter of Shi of (complete address) in the school.. game/ event of ... National competition from The Certificate is being given on the basis of record available in the Ministry of Fducation & Social Welfare. Name of the Federation / National Association. Note:-This Certificate will be valid only when signed personally by the Secretary or other Officer in overall charge of NCC in the Ministry of Education & Social Welfare. Attested by The Authority of the Director of Sports & Youth Services