22nd AJAY KUMAR GARG MEMORIAL OPEN TABLE TENNIS TOURNAMENT
Under the Aegis of GDTTC(A) ,Affiliated with UPTTA
 17-18 November 2018

ENTRY – FORM 

Name Of Institution	:	 -------------------------------------------------------
Address 		:	 -------------------------------------------------------
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TEAM MEMBERS Team Championship

 	MEN (TEAM A) 						WOMEN (TEAM A)

1-------------------------------------				1------------------------------------------

2-------------------------------------				2-----------------------------------------

3-------------------------------------				3-----------------------------------------

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MEN (TEAM B)						WOMEN (TEAM B)

1--------------------------------------				1 ------------------------------------------

2--------------------------------------				2 ------------------------------------------

3--------------------------------------				3 ------------------------------------------

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NAMES FOR INDIVIDUAL EVENT
SL. NO.	Category	Name	Date of Birth

				

				

				

				

Use extra sheet, if required.
Signature Head of Institution
Date:                                                                                               With Seal