THE ACRES LIFESTYLE CLUB ENTRY FORM

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THE ACRES LIFESTYLE CLUB. 411-B, Hemu Kalani Marg, Chembur, Mumbai 400071. 6TH OPEN SWIM MEET 2017. ENTRY FORM. Name of
THE ACRES LIFESTYLE CLUB 411-B, Hemu Kalani Marg, Chembur, Mumbai 400071

6TH OPEN SWIM MEET 2017

ENTRY FORM Name of Institution

Date:

Official-in-Charge and Phone no. Sr. No.

Full Name of Competitor

Male / Female

Date of Birth

Age Group

Event Nos.

Total No. of Events

1 2 3 4 5 6 7 8 9 10 11 12

Signature of Secretary / Manager

Rubber Stamp of the Institution

Entry Fee (Rs.)