Vincera sports

Vincera sports

Form
Payment History

NAME OF THE CLUB :

MOBILE NO OF COACH /IN CHARGE :

Email :

PARTICIPANT FULL NAME :

PARENT NAME :

GENDER :

DATE OF BIRTH :

SCHOOL NAME :

MENTION YOUR DISTRICT OF SCHOOL/CLUB :

Mobile Number :

Age Group :

Category :

FREE STYLE(25 M)

FREE STYLE(50 M)

BACK STROKE(25 M)

BACK STROKE(50 M)

BREAST STROKE (25 M)

BREAST STROKE (50 M)

BUTTERFLY(25 M)

BUTTERFLY(50 M)

Individual Medley IM (100 M)

Amount :

CGST (9%) :

SGST (9%) :

Total Amount :

I accept below Terms & Conditions

INR Amount to Pay

Terms & Conditions

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