Department of Sports and Youth Affairs Haryana, Sec -3, Panchkula

Department of Sports and Youth Affairs Haryana, Sec -3, Panchkula.

Form available at Web site - haryanasports.gov.in

Monthly work report of Coach at District______For the month of the______

The specific report to be typed in pen drive of each coach,DS&YAO,DDS Zonal, at Directorate & to be e-mailby coach to DS&YAO,DDS Zone & Directorate before 5th of every month.

Coach I.D / DS&YAO I.D
D.D.S (Zonal) I.D / Directorate I.D /
Coach Name / Contact No / Game /Sport / Venue of coaching centre / Timings
Morning to a.m
Evening to p.m
Number of personal trainees selected and are regular at centre
SPAT( Nursery) / Academy / Wing / Others
Day boarding / Residential / Boys / Boys / Boys
Boys / Boys / Girls / Girls / Girls
Girls / Girls
Achievements of personal trainees other assignment Championship Camps, Judging etc during the month.
Medal winners, Participents, Campers in numbers since April last year till date
Boys / Girls
Campers / Championship / Campers / Championship
International
Olympic, Asian, Common Wealth, SAF, World/Asia (Cup/ Champ.) / Sub Jr. / Medal winner
Participant
Junior / Medal winner
Participant
Senior / Medal winner
Participant
National
Fedrations, Schools, Women Festival, A.I.I.U., PYKKA etc. / Sub Jr. / Medal winner
Participant
Junior / Medal winner
Participant
Senior / Medal winner
Participant
State
Associations, schools, Women Festival, PYKKA, SPAT Games / Sub Jr. / Medal winner
Participation
Junior / Medal winner
Participant
Senior / Medal winner
Participant
District
Associations, schools, Women Festival, PYKKA, SPAT Games / Sub Jr. / Medal winner
Participant
Junior / Medal winner
Participant
Senior / Medal winner
Participant
Total

I vouch that above mentioned achievements are achieved by my personal trainees and no other coach is claiming them.

Signature of Coach

Department of Sports and Youth Affairs Haryana Sec -3, Panchkula

Inspection report of District Sports and Youth Affairs officer

Name of DSYAO______District______

Name of coach / Date / Time of inspection
Sports persons mentioned in register / Achievement of personal trainees of coach at Block, Distt., Zone, State SPAT games & Other Championships / Remarks
SPAT
(Nursery) / Attendance / Present
Absent
Academy / Training Schedule available or not / Yes
No
Wing / Hall/Play field Condition / Poor / Good / Excellent
Other / Any other Observation
Total
Do you vouch achievement of the coach mentioned on both pages Yes / No
Signature of DS &YAO

Inspection report of Deputy Director Sports Zone

Name of DDS Zonal______Zone______

Name of coach / Date / Time of inspection
Sports persons mentioned in register / Achievement of personal trainees of coach at Block, Distt., Zone, State SPAT games & Other Championships / Remarks
SPAT
(Nursery) / Attendance / Present
Absent
Academy / Training Schedule available or not / Yes
No
Wing / Hall/Play field Condition / Poor / Good / Excellent
Other / Any other Observation
Total
Do you vouch achievement of the coach mentioned on both pages Yes / No
Signature of DDS Zone
Do you vouch achievement of the coach mentioned on both pages Yes / No
Signature
Monitoring Cell
Officer Incharge

Coach’s Monthly Progress Report Page 1 of 2