date of WA CECS level-1 course completion *

WA CECS LEVEL-1 Coach Number *

marks obtained *

LEVEL-1 certificate *

First Name *

Family Name *

Date of Birth *

Father Name *

Marital Status *

Email *

Mobile No *

State Of Domicile *

Present Address *

Pin Code *

Are You Currently Employed *

No Yes

Highest Educational Qualification *

Any Other Qualification Other Than WA CECS Level-1 In Sports Coaching

No Yes

Event Group For CECS LEVEL-2 (Should be same as you have previously filled in the Participants Information form during Level-1) *

Select Event Group Jumps Sprints Throws Middle, Long Distance and Race Walk Combined

Choice of Venue *

Select Venue SAI NS NIS PATIALA (03-01-2024 - 08-01-2024) SAI LNCPE TRIVANDRUM (10-01-2024 - 15-01-2024)

1. Number of youth athletes trained by you in last one-year *

2. Where have you been training athletes (name of the institute/organisation/private academy) *

3. Full address & contact number of the institute/organisation/private academy *

International level *

National level *

State level *

National School level *

District level *

School level *

Attach Certificate *

Captcha *