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New Registration

New Coach Registration Form

Select Your Location

Select Your District *
Select Your Taluk *

Personal Information

Enter your Name *
Father's Name *
Date of Birth *
Blood Group *
Gender *
Address Line 1 *
Address Line 2
Pincode *
City *
Mobile Number *
Alternate Mobile *
Email ID *
Aadhar Number *
Aadhar - Front *
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Aadhar - Back *
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Upload Aadhar Back
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Please upload you id proof images in JPG, PNG or GIF format. Minimum size 34 KB and Maximum size 1 MB.

Previous History in JUDO / Any Other Martial Arts

Previous History in JUDO *
Previous History in Any Other Martial Arts *

Current Judo Grade Information

Enter your Present Grade in Judo *
Enter your Coach *
Enter your Referee *
Enter Name of Dept *
Enter your Contact Person in Department *
Enter Address of Department *
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