Validitywillcommencew.e.f.

1stJanuaryoftheyearofapplicationtill31stDecemberofthe2ndyear

ALL INDIA TENNIS ASSOCIATION

AITA / ITN REGISTRATION FORM

New (Tick if Yes) If Renew, Existing Registration Number PlayersName: FirstName MidName SurName D D M M Y Y Y Y DateofBirth Male FatherName Occupation MotherName Occupation Correspondence Address LandlineNo. EmailID Permanent Address BankName DDNumber DemandDraftDated D CoachName ContactNo. EmailID

Affix two passport size latest photographs

Female

Pincode

Mobile

Pincode

Amount

Reg.No.IfRegistered

Note: Please attach Two Proofs of Date of Birth namely Photocopy of Municipal Birth Certificate (Mandatory) and (Certificate fromSchool or Copy ofPassport) along withtwolatest passportsizephotographs. Allthe documents should be self attested by the players. The Registration form duly filled and signed with Demand Draft in favor of AITAITN payable at New Delhifor Rs. 3000 + service tax (12.36% Rs. 371) = 3371. Send Direct to: AITA Registration Department, All India Tennis Association, RK Khanna Tennis Stadium, Safdarjung Enclave, Africa Avenue, New Delhi 110029, Tel. No. 26176280/81/83 and Email id : registration@aitatennis.com

DECLARATION
I hereby undertake that the information and documents supplied by me are correct. I undertake that I will produce original certificates indicating my date of birth proof of correct age as and when required. I agree, that I will go for doping test, Medical examination as per government guidelines for age verification & participating without any preconditions (only for Indian Origin players) if selected to represent India for any tennis tournament, and will not play in national ranking tennis tournaments within the country, which is not AITA approved, I understand that failure in any of the above undertaking may lead to a suspension of AITA registration and a ban from participating in Tennis eventsinIndiaandthiscannotbechallengedinanycourtoflaw.

_________________ ________________ SignatureofParents SignatureofPlayer ForOfficeUseOnly

ReceiptNumber:__________________

Dated:__________________