Life Member Form

Member Registration Form

APPLICATION FOR LIFE TIME MEMBER REGISTRATION U/S 25(2) OF THE ALL INDIA COUNCIL OF THE PHYSICAL EDUCATION, ACT, 2007.

Full Name (required)

Your Passport size photo:

Fathers Name

Mothers Name

DOB

Gender

Marital Status

Blood Group

Aadhar Card No.

Pan No.

Pan Card Copy

Address For Communication:

Residence:

Office:

Telephone number with STD code:

Residence:

Office:

Mobile:

Your Email (required)

Educational Qualifications: (required)

Name of the college/Institution/University in which you are working:

Designation:

Teaching Experience:

Whether Registered Supervisor for guiding M.Phil and Ph.D in Physics Education:

Game of Specialization:

Subject Specialization:

Publication:

Books:

Monograph:

Research Article International:

Research Article National:

Membership in any Professional Organisation:

Attended Conferences/seminars/workshops (National/International):

Highest achievement in sports/games:

Highest achievement in academics:

What are the courses in Physical Education provided by your Institute/University/College? Please specify:

Provide the website and email address of your Institute/University/Colleg:

Any other Information which you feel is necessary then please write in below: