83nd Senior (Men), 41th Junior ( Boys) , 12th Sub Junior (Boys), 25th Senior (Women) & 9th Junior &2nd Sub Junior (Girls)“MANISHA” National Billiards & Snooker Championships 2016 from 12th Jan to 31th Jan 2016 at The Emerald Heights International School, A.B. Road, Indore (MP).

Entry Form

Entry Closes on: 12THDecember,2015

Entry fee

Men:Senior: Rs.1000/- per event per player

Junior: Rs. 500/- per event per player

Sub Junior: Rs. 300/- per event per player

Ladies:Senior : Rs.500/- per event per player

Junior & Sub Junior: Rs.300/- per event per player

Venue:

The Emerald Height International School

A.B. Road Indore (MP)

Entries to be sent to:

Mr. Bholu Mehta

President

Madhya Pradesh Billiards Snooker Association,

JAWAHARLAL NEHRU STADIUM,

OPPOSITE M. Y. HOSPITAL, A.B. ROAD,

INDORE-452001 (MP)

Ph. 0731-2705558, 2722670

Mob: +91 9826049027

Please accept the entry/entries mentioned below for the said Championship.

A sum of Rs. ______towards entry fee is sent herewith.

Entry fee to be paid in the form ofDemand Draft drawn in favor of“M. P.BILLIARDSSNOOKERASSOCIATION,”payable at par atIndore (MP).

OR

Bank transfer/ Account transfer as per following detail(pl attach copy of the bank payment slip)

Bank: Bank of India. Bank account no:880110110002304

Bank IFSC Code No: BKID0008801

E-mail:

We hereby declare that our nominee/s is/are player/players in accordance with the definition adopted by the Billiards & Snooker Federation of India.

Name of the Players (Men)

Senior BilliardsSenior Snooker

1. 1.

2. 2.

3.(Direct)3.(Direct)

4.______(Direct)4.______(Direct)

Junior BilliardsJunior Snooker

1. 1.

2. 2.

3. 3.

Sub. Junior BilliardsSub. Junior Snooker

1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

Name of the Players (Ladies)

Senior BilliardsSenior Snooker

1. ______1. ______

2. ______2. ______

Junior BilliardsJunior Snooker

1. ______1. ______

2. ______2. ______

Sub.Junior BilliardsSub. Junior Snooker

1. ______1. ______

2. ______2. ______

Entry Form For Qualifying

Entry fee: Seniors: Rs.1000/-, Juniors: Rs.500/- per event per player

Senior BilliardsSenior Snooker

1. 1.

2. ______2.

3. ______3.

4. ______4.

5. ______5.

6. 6.

7. 7.

8.8.

9. 9.

10.10.

Junior BilliardsJunior Snooker

1. 1.

2. ______2.

3. ______3.

4. ______4.

5. ______5.

Name of the Association: ______

For any Queries regarding Entry, please contact Sh. Bholu Mehta, Mob:09826049027

Authorized signature & rubber stamp ofthe affiliated unit/association of BSFI

  • All Juniors & Sub-Juniors entries should be accompanied with Proof of age certificate. The age of juniors should be below the age of 21 and the age of Sub junior should be below the age of 18 as on 31st December 2015.In other words only players born in the year 1995or onwards are eligible to participate in the U-21 event and players born in the year 1998or onwards are eligible to participate in the U-18 event.
  • Only BSFI accredited players shall be allowed to participate in the Indian National Championship.
  • Entries will be accepted only through respective State Associations