ICE SKATING ASSOCIATION OF INDIA

iceskatingindia@gmail.com

Coach Username

First Name Note: Please do not use any prefix such as Mr. or Ms. etc

Middle Name

Last Name

Contact Number

+91

Date of Birth Age

Email (All the correspondence shall be sent to this Email ID.)

Aadhaar/Passport Number

Gender

Male Female

Blood Group

Father's Name (Please do not use any prefix such as Shri. or Dr. etc.)

Mother's Name (Please do not use any prefix such as Smt. or Dr. etc.)

Emergency/Alternative Number

+91

Nationality

Country of Residence

Present Address

Address Line 1 (Don't write your name again.)

Address Line 2

Address Line 3

Pincode

City

State

Select if Permanent Address is same as Present Address

Permanent Address

Address Line 1 (Don't write your name again.)

Address Line 2

Address Line 3

Pincode

City

State

Password

Confirm Password

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Coach Qualification

Coach Experience

Coach Certification

Undertaking

“I undertake that the uploaded information is correct and abide by the rules and regulations of the ISAI”.

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