+91 9118 181 111 , +91 9137 963 843
beachthrowballup@gmail.com
Beach Throwball
Association of Uttar Pradesh
(Affiliated to: Beach Throwball Federation of India)
Adderess: 554/632, Chhota Barha, Chandan nagar Alambagh, Lucknow
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Affiliation Application Form
Beach Throwball Association of Uttar Pradesh
Annual Affiliation Fee
Validity:
01 April - 31 March
₹3,500.00
1. Select Affiliation Category
Select Affiliation Category
District Association
Club
Academy
School
Affiliation Category
*
District Being Represented
Select
Yes
No
Constitution / Bylaws Available?
Club President / Owner
Club Registration Details
Academy Director / Owner
Academy Registration / Recognition
Select School Board
CBSE
ICSE
UP Board
Other
School Board
School Code
Principal / Head Name
PE Teacher / Sports Coordinator
2. Organization / Institution Details
Organization / Institution Name
*
Year Established
*
Registration Number
PAN Number
Official Email Address
*
Official Mobile Number
*
Alternate Mobile Number
Website
Complete Address
*
District
*
City / Town
*
PIN Code
*
3. Authorized Office Bearers
President / Head / Director
Full Name *
Designation *
Mobile Number *
Email Address
Secretary / Coordinator
Full Name *
Designation *
Mobile Number *
Email Address
Authorized Representative
Full Name *
Designation *
Mobile Number *
Email Address
4. Throwball Information
Do you currently conduct Throwball activities?
*
Yes
No
Number of Active Players
Player Category
Male
Female
Sub-Junior
Junior
Senior
Number of Teams *
Number of Coaches *
Number of Referees / Officials *
5. Training Facility
Throwball Training Facility Available?
*
Yes
No
Select Facility Type
Own
Rented
School Ground
Government Ground
Other
Facility Type
Ground / Facility Name
Training Days
Training From
Training To
Facility Address
6. Coach Details
S.No.
Coach Name
Qualification
Experience
Mobile
Action
1
Add Another Coach
7. Document Upload
Accepted formats: PDF, JPG, JPEG, PNG. Maximum file size: 5 MB.
Registration Certificate
Constitution / Bylaws
Office Bearer / Management List
Address Proof
*
PAN Card
Authorized Person ID Proof
*
School Recognition / Affiliation Certificate
Coach / PE Teacher Details
Ground / Facility Proof
Bank Details / Cancelled Cheque
8. Annual Affiliation Fee & Payment
Annual Affiliation Fee
Validity: 01 April - 31 March
₹3,500.00
Select Payment Method
UPI / QR Code
Payment Method *
Transaction / UTR Number *
Payment Date *
Amount Paid
Payment Receipt
*
SCAN & PAY
BTBA-UP
OFFICIAL PAYMENT QR
Pay
₹3,500.00
using the official BTBA-UP QR code.
9. Declaration, Terms & Conditions
I/We hereby declare that all information provided and documents submitted in this application are true, complete and correct to the best of my/our knowledge and belief.
I/We agree to abide by the Constitution, Rules, Regulations, Policies, Code of Conduct and decisions of BTBA-UP, as amended from time to time.
I/We understand that submission of the application and payment of the prescribed fee do not automatically constitute affiliation. Affiliation shall become effective only after verification of the documents and formal approval by the competent authority of BTBA-UP.
I/We agree to provide any additional information or documents required by BTBA-UP for verification and to promptly inform BTBA-UP of any material change in the information submitted.
I/We shall not use the name, logo, affiliation certificate, affiliation number or official identity of BTBA-UP before formal affiliation is granted, and after approval, shall use them only as permitted by BTBA-UP.
I/We understand that BTBA-UP reserves the right to reject the application or suspend/cancel the affiliation in case of false information, violation of rules, misconduct or non-compliance with the prescribed terms and conditions.
I/We hereby declare that I/we have read and understood the above Declaration, Terms and Conditions and agree to accept and comply with all the terms stated herein.
*
10. Review & Submit
Affiliation Category
Not Selected
Organization
-
Annual Fee
₹3,500.00
Submit Affiliation Application
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