CLASSMATE SPELL BEE SEASON 9

LEVEL 3 REGISTRATION FORM

NAME (as on passport):_________________________________________

(First name) (Middle name) (Last name)
AFFIX YOUR
FATHERS NAME: _________________________________________ PHOTOGRAPH HERE
(First name) (Middle name) (Last name)

MOTHERS NAME: _________________________________________

(First name) (Middle name) (Last name)

STD / CLASS & DIVISION: ________________________________________

DATE OF BIRTH: ________________________ AGE: _________________

SCHOOL NAME & BRANCH-AREA: _________________________________________________________________

______________________________________________________________________________________________

COMPLETE RESIDENTIAL ADDRESS: _______________________________________________________________

______________________________________________________________________________________________

RESIDENTIAL LAND LINE NUMBER: _______________________________________________________________

YOUR MOBILE NUMBER __________________________

ANY OTHER PHONE NUMBER: ____________________________________________________________________

YOUR EMAIL: __________________________________________________________________________________

** Who will travel with you in case you get selected for the National Finals? Mother ____ Father ____

If not mother or father who else would be travelling? _________________________________________

Contact Number & Email id of guardian who is travelling.__________________________________________

To be filled by the Parent/ Guardian:

I agree to send my son/ daughter to Mumbai for the National finals of Classmate Spell Bee Season 9 held for a
period of 5 days from the 10th of March to the 14th March 2017 and I assure that my son/ daughter will abide by
all the rules and regulations laid down by ENIL.

Name of the Parent/Guardian : __________________________________

Signature : __________________________________

To be filled by the supervisor:

1. Photo ID checked:

2. Certificate Given:

3. Completely filled Registration form Signed and received:

Supervisor Signature