Hockey India

Coaches Registration Form

Personal Details

First Name * {{formData.first_name}}

Middle Name {{formData.middle_name}}

Last Name * {{formData.last_name}}

Gender *
Male Female

Email Id *

DOB * {{formData.dob}}

Place of Birth *

Father Name * {{formData.father_name}}

Mother Name *

Contact Number *

Landline

Player Registratin ID

Coach Type *

Association *

Select Image *(jpg/png/jpeg only)

Select Photograph

Select Signature *(jpg/png/jpeg only)

Select Signature

CV (pdf only)
View CV

Coaching Details

Current Coaching Position *

Departmental Details *

Number / Fax / Address

Emergency Contact *

Shirt Size *

Address Details

Address Line 1 *

Address Line 2

City *

Pincode *

State *

Country *

State *

Medical Details

Height *

Weight *

Blood Group *

Known Allergies *

Identification Mark 1 *

Identification Mark 2 *

Documents *

Select Document *

Number

Start Date

End Date

Select Document * View Please upload coloured copy (PDF/JPEG max 5MB)

SN	Document	Number	Start Date	End Date	File	#
{{$index+1}}	{{document.document_name}}	{{document.number}}	{{document.start_date}}	{{document.end_date}}	View
{{$index + 1 + formData.previous_documents.length}}	{{document.document_name}}	{{document.number}}	{{document.start_date}}	{{document.end_date}}	View

Hockey Coaching Qualifications & Experience

Career Summary Not Applicable

Organization *

Organization Name *

Start Date *

End Date

Designation *

Achievements (Top 10)

Achievement detail

Details of Coaching Qualifications Not Applicable

Select Qualification *

Certificate Name *

Number *

Issue Date *

Hockey Playing Records/Sports & Physical Education

Details of Record

Confirm the followings

Computer Knowledge

Basic

Intermediate

Advance

{{$index+1}} ) {{skill.value}}

Language Proficiency

Basic

Good

Excellent

{{$index+1}} ) {{language.value}}

(i) Spoken

(ii) Written