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Coaches Training Program - Application Form

First Name

Last Name

Date of Birth

Address

City

State

Pin Code

Phone Number

Educational Qualification

Do you have any Criminal Record in India or any other country?

yes

Are you suffering from Serious Mental Disorder?

yes

Are you suffering of any Infectious disease of Public Health Disorder?

yes

Reason, if yes

Sport Information

Notable Achievement in Cue Sports

Playing Since

From

Reason for Leaving:

Coaching Experience (if any)?

yes

Disclaimer

I confirm that above information is true and complete to the best of my knowledge. I understand that false or misleading information in my application may result in my disqualification from the Coaches Training Program and cancellation of my Certificate even after qualification.
May 10, 2026