Swimming Pool Registration Form
Select User Type
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Student/Research Scholar (University Campus)
Student/Research Scholar (Affiliated Colleges)
Teaching Faculty Member/Administrative Officers & their Family Members/ Retired Employee
Visitors/Outsiders
Non- Teaching Staff & their Family Members
Daily Guest Charges (Insiders)
Daily Guest Charges (Outsider)
Select School Name
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SCHOOL OF ENGINEERING AND TECHNOLOGY
SCHOOL OF BUSINESS MANAGEMENT
SCHOOL OF HEALTH SCIENCES
SCHOOL OF SCIENCES
SCHOOL OF ARTS, HUMANITIES AND SOCIAL SCIENCES
SCHOOL OF FINE ART AND PERFORMING ART
ATAL BIHARI VAJPAYEE SCHOOL OF LEGAL STUDIES
SCHOOL OF LANGUAGES
SCHOOL OF PHARMACEUTICAL SCIENCES
SCHOOL OF TEACHER EDUCATION
OFF CAMPUS COLLEGE
Enrollment No.
Off Campus College Name
Course
Year
Department
Designation
First Name
Last Name
Father's name
Email
Phone/Mobile
Date Of Brith
Gender
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Male
Female
Address
Emergency Contact Person Name
Emergency Contact Person Phone No.
Upload Passport Size Photo
Choose File
Upload Valid ID Proof
Choose File
Subscription Plan
1 Month
3 Months
Daily Guest User
Daily User
Reference Contact Person Name from University
Reference Contact Person Phone No. from University
1 Month Subscriptions: 550 INR
1 Month Subscriptions: 1050 INR
3 Month Subscriptions: 1650 INR
3 Month Subscriptions: 3150 INR
1 Month Subscriptions: 1150 INR
3 Month Subscriptions: 3250 INR
1 Month Subscriptions: 1050 INR
3 Month Subscriptions: 3150 INR
1 Month Subscriptions: 2000 INR
3 Month Subscriptions: 6000 INR
Daily Guest Charges: 150 INR
Daily Guest Charges: 200 INR
DECLARATION
Self Declaration
I, hereby declare that I would pay 150 Rs. For Registration (for one Session )
I, hereby declare that I/My ward,(s) would be Swimming at University Swimming Pool at my own risk and In case of
any Accident happening or loss of life
in the Pool during Swimming I will not hold the University authorities responsible in any way.
Rules & Regulations
and their amendments as decided by the Swimming pool management committee are applicable on me and I agree to abide by them. I shall cooperate with the authorities in maintaining the discipline in the swimming pool.
I declare that I am not suffering from any communicable disease, Epilepsy and Psychiatric Illness.
I understand that if any one of the details given above is proved to be false, my membership will be cancelled and suitable disciplinary action will be taken against me.
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