ENTRY FORM: CADETS BOYS

COUNTRY INDIA
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-50 Kg
-55 Kg
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
+90 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

35
 ENTRY FORM: CADETS GIRLS

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-40 Kg
-44 Kg
-48 Kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
+70 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

36
 ENTRY FORM: JUNIORS MEN

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-55 Kg
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
-100 Kg
+100 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

37
 ENTRY FORM: JUNIORS WOMEN

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-44 Kg
-48 Kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
-78 Kg
+78 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

38
 ENTRY FORM: PRE-CADETS BOYS

COUNTRY INDIA
LEAD NAME MANMOHAN JAISWAL
JUDO FEDERATION OF INDIA
ADDRESS WZ-114 E, 3rd FLOOR- HARI SINGH COMPLEX
TODAPUR, NEW DELHI
POSTAL CODE:110012
TEL NO EMAIL jfiindia@gmail.com
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-34 Kg ANURAG SAGAR 14/11/2006
-38 Kg PRINCE KUMAR 22/11/2005
-42 Kg RISHIKANTA HUIDUOM 02/05/2005
-46 Kg NITYA MAJHI 05/03/2005
-50 Kg CHIRAG SHARMA 16/11/2005
-55 Kg SPARSH SINGH 06/07/2006
-60 Kg SIDHARTH RAWAT 21/05/2005
-66 Kg AJAY KUMAR 15/03/2005
-73 Kg AMAN AMAN 05/02/2005
+73 Kg PARMEET PARMEET 09/02/2005

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

39
 ENTRY FORM: PRE-CADETS GIRLS

COUNTRY INDIA
LEAD NAME MANMOHAN JAISWAL
JUDO FEDERATION OF INDIA
ADDRESS WZ-114 E, 3rd FLOOR- HARI SINGH COMPLEX
TODAPUR, NEW DELHI
POSTAL CODE:110012
TEL NO EMAIL jfiindia@gmail.com

WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-36 Kg SIMRAN SIMRAN 20/09/2005
-40 Kg ANKITABEN NAGHERA 09/04/2005
-44 Kg ROSHIDINA MUTUM 11/07/2005
-48 Kg HIMANSHI TOKAS 24/03/2005
-52 Kg NUNGHITHOI LEISHANGTHEM 04/01/2006
-57 Kg LINTHOI CHANABAM 11/04/2006
-63 Kg KALPANA IRENGBAM 03/02/2005
-70 Kg SAPNA SAPNA 15/05/2005
+70 Kg BHUMIE BHARDWAJ 30/03/2005

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

40
 ENTRY FORM: SENIORS MEN

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-55 Kg
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
-100 Kg
+100 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

41
 ENTRY FORM: SENIORS WOMEN

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT DATE OF
FIRST NAME SURNAME
CATEGORY BIRTH
-44 Kg
-48 Kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
-78 Kg
+78 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

42
 ENTRY FORM: VETERANS MEN

COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
-100 kg
+100 kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

43
 ENTRY FORM: VETERANS WOMEN
COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-48 kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
-78 Kg
+78 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

44
 ENTRY FORM: VISUALLY IMPAIRED
GROUP 1 MEN
COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-55 Kg
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
-100 Kg
+100 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

45
 ENTRY FORM: VISUALLY IMPAIRED
GROUP 1 WOMEN
COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-44 Kg
-48 Kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
-78 Kg
+78 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

46
 ENTRY FORM: VISUALLY IMPAIRED
GROUP 2 MEN
COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-60 Kg
-66 Kg
-73 Kg
-81 Kg
-90 Kg
-100 Kg
+100 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

47
 ENTRY FORM: VISUALLY IMPAIRED
GROUP 2 WOMEN
COUNTRY
LEAD NAME

ADDRESS
POSTAL CODE:
TEL NO EMAIL
WEIGHT AGE
FIRST NAME SURNAME
CATEGORY DIVISION
-48 Kg
-52 Kg
-57 Kg
-63 Kg
-70 Kg
-78 Kg
+78 Kg

OFFICIALS
FUNCTION FIRST NAME SURNAME

SIGNATURE DATE

FEDERATION STAMP:

48
 VISA APPLICATION FORM
A scanned copy of the passport must send with this form to Email:
commonwealth@britishjudo.org.uk

Name of Country: ……………………………………………………………………………………………………..

S. Surname Given Sex Date Father’s Passport Date Date Citizenship

No. name of Name No. of of
Birth Issue Expiry

………………………………………………………… Date:…………………

Signature of President

Official Stamp/Seal Name of President: ………………………………………………………………….…

49