Beach Throwball Association of Uttar Pradesh

Referee Clinic Camp Registration

1. Select Clinic Camp

Select Clinic Camp *

Camp Duration -

Camp Fee ₹0.00

Camp Dates -

Location -

2. Participant Details

Full Name *

Father / Mother / Guardian Name

Date of Birth *

Gender *

Blood Group

Mobile Number *

WhatsApp Number

Email Address *

Complete Address *

District *

State *

PIN Code *

3. Referee / Sports Background

Are you currently a referee / official? *

Yes

Previous Referee Experience

Highest Referee / Sports Qualification

Organization / Club / Academy / School

Current Role

Previous Clinic / Course Attended

4. Camp Details

Camp Name

Camp Duration

Camp Start Date

Camp End Date

Camp Location

Important: Registration is complete only after payment verification. Camp Fee: ₹0.00

5. Payment — Camp Fee

SELECTED CAMP FEE

₹0.00

Per Participant / Head

Payment Method *

Transaction / UTR Number *

Payment Date *

Amount To Pay

Payment Receipt / Screenshot * PDF / JPG / JPEG / PNG — Maximum 5 MB

6. Aadhaar Card Verification

Aadhaar Card Number *

Enter your 12-digit Aadhaar Card number.

Upload Aadhaar Card * Upload clear Aadhaar Card PDF / JPG / JPEG / PNG. Maximum 5 MB.

Aadhaar Verification: The Aadhaar number must contain exactly 12 digits. Your uploaded Aadhaar document will be used by BTBA-UP for registration/identity verification.

7. Declaration & Consent

I declare that the information provided by me is true and correct to the best of my knowledge.

I agree to follow the rules, discipline, instructions and decisions of BTBA-UP and the Referee Clinic Camp.

I understand that my registration is subject to payment and document verification and confirmation by BTBA-UP.

Camp Fee: ₹0.00 per head
Please check all participant, Aadhaar and payment information carefully before submitting.

Beach Throwball

Association of Uttar Pradesh

(Affiliated to: Beach Throwball Federation of India)