K2S The inter-collegiate night adventure race on 29th, 30th July 2011

1. NATIONAL EDUCATION FOUNDATION
25,Parvati, Purandare Building, Pune. Tel.: 020- 24428359
Visit us at: www.enduro3.com
ENTRY FORM
FORM SHOULD BE IN BLOCK LETTERS &TYPED FORMAT ONLY
ANNEXURE – I
TEAM CATEGORY: ………………………………………………………………………...
TEAM NAME: ………………………………………………………………………………..
(FOR OFFICE USE ONLY)
NAME OF COLLEGE: ………………………………………………………………………………………

ADDRESS OF COLLEGE………………………………………………….……………. A
__________________________________________________________________
Self Attested
A Team Leader: …………………………………………………………………………
Photograph
AGE: ……… M/F T-SHIRT SIZE: S / M / L / XL/ XXL
BIRTH DATE: …………………………PHONE NO.: ………………………………
BLOOD GROUP: …….. EMAIL ID………………………………………………….
__________________________________________________________________
B
B NAME…………………………………………………………………………………
Self Attested
AGE: ……… M/F T-SHIRT SIZE: S / M / L / XL/ XXL Photograph
BIRTH DATE: …………………………PHONE NO: ……………………….
BLOOD GROUP: …….. EMAIL ID:………………………………………………….
__________________________________________________________________
C NAME…………………………………………………………………………………. C
AGE: ……… M/F T-SHIRT SIZE: S / M / L / XL/ XXL Self Attested
Photograph
BIRTH DATE: ………………………… PHONE NO: …………………………….
BLOOD GROUP: ……… EMAIL ID………………………………………………..
__________________________________________________________________
…………………………………………………………………………..
.................................................... LANDLINE NO.:……………………………..
MOBILE NO.: …………………… E-MAIL: ……………………………………..

2. NATIONAL EDUCATION FOUNDATION
NO OBJECTION CERTIFICATE FROM COLLEGE
ANNEXURE II
That I,______________________________________________________________________________as
principal of ______________________________________________college have gone through the detailed
information, rules and regulations of the K2S - The Monsoon Night Adventure Race organized by NEF, Pune
and to be held in the hilly region from Katraj Tunnel to Sinhagad Fort that,
1. Name: , age : , year / course
2. Name: , age : , year / course
3. Name : , age : , year / course
are the students of this College and so are known to me.
I therefore have no objection in the above students, participating/representing this college in the said
race and event as per the strict rules and procedures of the race.
Place:______________
Date:______________ College Stamp Principal’s Signature
* Not applicable for category
C - Collegian All Girls • D - Collegians Mix Open

3. NATIONAL EDUCATION FOUNDATION
PERSONAL INFORMATION FORM ANNEXURE – III (A)
NAME: ………………………………………………………………………........................
TEAM NAME: ………………………………………………………………………………..
CATEGORY: ……………………………………………………………………………………………………

ADDRESS: ………………………………………………………………………………….. Self
Attested
………………………………………………………………………………………………… Photograph
PH.NOS: ……………………………………………………………………………………
E-MAIL: ………………………………………………………………………………………
___________________________________________________________________
NAME: ………………………………………………………………………………………..
ADDRESS: ………………………………………………………………………………….
…………………………………………………………………………………………………
LANDLINE: ……………………………….. MOBILE: ……………………………………
_________________________________________________________________
OCCUPATION: ……………………………………EDUCATION: ……………………….
COLLEGE: …………………………………………………………………………………..
YEAR/COURSE: ………………………………………………………………………….
BIRTH DATE: …………………………..AGE:…………………..yrs.
M/F: ……………….. HEIGHT: ………………………. WEIGHT: …………………..
BLOOD GROUP: ……………. SIGNATURE & NAME
INSURANCE POLICY NO(compulsory) : ………………………………………………… ________________
PREVIOUS EXPERIENCE IN SPORTS: ………………………………………………… ________________

4. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARENT / GUARDIAN
ANNEXURE – IV (A)
I,………………………………………………………………………… age………………….. : years,
Occupation : ……………………………………,residing at ………………………………………….........................
………………………………………………………………………………………………………………………………
The father/mother/guardian of Master/Miss ……………………………………………………………………………
Age: ………………….Occupation: …………………. , residing at …………………………………………………...
Declare that -
1) My son/daughter/ward is participating in K2S-The Monsoon Night Adventure Race 2011 with my permission
and consent, after I have gone through all the Rules and Terms and Conditions formed by the National
Education Foundation (NEF).
2) I declare that I shall not disclose any information relating to any of the terms and conditions, instances,
incident and any other matter taking place during the race and any information obtained by NEF for the purpose
of this Race without, the previous permission in writing from NEF officials, in any manner whatsoever to any
Person / individual/ organization / body corporate / agency etc.
3) I declare that all the decisions taken by the NEF or/and/by the Director or other members, or any other
person authorized by NEF for the purpose of completion of the Race in proper manner or in the interest of my
son/daughter/ward, in the circumstances then prevailing shall be binding on him/her.
4) I declare that after having understood all the Rules and Regulations and Terms and Conditions formed by the
NEF for K2S-The Monsoon Night Adventure Race and after being aware of this risks involved in the Race have
decided to permit my son/daughter/ward to participate in the Race on my own volition, responsibility and without
any coercion or influence by anyone. I shall not hold the NEF or its Director or any other members, or any other
person authorized by the NEF responsible on any count including any injury and/or damage to my
son/daughter/ward or to his/her person or property.
5) I declare that all the necessary information/documents furnished by me and my son/daughter/ward to the
organizers is true and correct to the best of my knowledge, belief and information.
In verification whereof I have signed below this Declaration on this…………day of……….. 2011.
Place:……………………. Mr/Mrs……………………………………………………………...
Date :……………………... Father/Mother/Guardian of ………………………………………
Phone No.: ……………………………………………………….
_________________________
Signature of Parent / Guardian

5. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARTICIPANT
ANNEXURE – V (A)
I,
………………………………………………………………………………………………………………………………
………………………. Age ……….. Years, Occupation: ……………………………………………………………
……………………………………………………………………………………Residing at ………………..............
………………………………………………………………………………………………….. declare that,
1) I have gone through all the Rules and Regulations and the Terms And Conditions formed by the National
Education Foundation (NEF) for K2S-The Monsoon Night Adventure Race and have understood the same.
I am also aware that all this Rules and Regulations and the Terms and Conditions are binding on me as a
participant.
2) I declare that,I shall not disclose any information relating to any of the terms and conditions ,instance,
incident and any other matter taking palce during the Race and any information obtained by the NEF for the
purpose of this Race without the previous permission in writing from NEF Officials, in any manner whatsoever
to any person/organization/body agency etc.
3) I declare that all the decisions taken by the NEF or /and by the Director or other members, or any other
person authorized by the NEF for the purpose of completing the Race In proper manner or in the interest of
myself, in the circumstances then prevailing shall be binding on me.
4) I further declare that after having understood all the Rules and Regulations and the Terms and Conditions
formed by the NEF for the Race and after being aware of the risks involved ind the Race I have decided to
participate in the Race on my own volition, responsibility and without any coercion or influence by anyone
including my parents/guardians.
5) I shall not hold the NEF or its Director or other members or any other person autorised by the NEF
responsible on any count including any injury and/or damage to me/my person or my property.
I declare that all the necessary information/ documents furnished by me to the Organizers are true and
correct to the best of my knowledge, belief and information. ’In verification whereof, I have signed below
this declaration on this ……………………day of ………………….. 2011’.
Place: Name:………………………….
Date: Signature:…………………………
Phone No:………………………….
Witness:
Name : ………………………..
Address:…………………………………………..

6. NATIONAL EDUCATION FOUNDATION
CERTIFICATE OF PHYSICAL FITNESS
ANNEXURE – VI (A)
Name of the doctor: ………………………………………………………………………………………
Qualification: ………………………………………………………………………………………………
This is to certify that I have conducted clinical examination of
Mr. / Mrs. / Miss …………………………………………………………………………………………
Who is desirous of participating in NEF K2S-The Monsoon Night Adventure Race
He has not given any personal history of any disease incapacitating him to undergo the physically
demanding. NEF K2S-The Monsoon Night Adventure Race. Also on clinical examination it has been found
that he is physically fit to undergo the above mentioned Race.
Certified further that he has not shown any evidence of major defects of posture, locomotion, vision, hearing or
any other systemic disorders.
Even though the following deviations have been revealed.
1._________________________________________________________________________
2._________________________________________________________________________
3._________________________________________________________________________
I do not feel that this could hinder his participation in the above mentioned Race on any of the health ground/s.
……………….. ………….. ……………………………
PARTICIPANT DOCTOR PARENT/GUARDIAN
(STAMP)

7. NATIONAL EDUCATION FOUNDATION
PERSONAL INFORMATION FORM ANNEXURE –III (B)
NAME: ……………………………………………………………………….....................
TEAM NAME: ……………………………………………………………………………..
CATEGORY:…………………………………………………………………………………………………

ADDRESS :……………………………………………………………………………….. Self
Attested
……………………………………………………………………………………………… Photograph
PH. NOS.:………………………………………………………………………………….
E-MAIL:…………………………………………………………………………………….
_________________________________________________________________
NAME: ………………………………………………………………………………………
ADDRESS : ………………………………………………………………………………..
LANDLINE: ……………………………….. MOBILE: ………………………………….
__________________________________________________________________
OCCUPATION: ……………………………………EDUCATION: ……………………..
COLLEGE: …………………………………………………………………………………
YEAR/COURSE: ………………………………………………………………………..
BIRTH DATE: …………………………..AGE:…………………yrs.
M/F: ……………….. HEIGHT: ………………………. WEIGHT: …………………..
BLOOD GROUP: ……………. SIGNATURE & NAME
INSURANCE POLICY NO(compulsory): ……………………………............................ _______________
PREVIOUS EXPERIENCE IN SPORTS: ……………………………………………… ________________

8. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARENT / GUARDIAN
ANNEXURE – IV (B)
I,………………………………………………………………………… age………………….. : years,
Occupation : ……………………………………,residing at………………………………………….........................
……………………………………………………………………………………………………………………………..
The father/mother/guardian of Master/Miss ………………………………………………………………………….
age : ………………….Occupation,………………….. , residing at …………………………………………………
declare that -
1) My son/daughter/ward is participating in K2S-The Monsoon Night Adventure Race 2011 with my permission
and consent, after I have gone through all the Rules and Terms and Conditions formed by the National
Education Foundation (NEF).
2) I declare that I shall not disclose any information relating to any of the terms and conditions, instances,
incident and any other matter taking place during the race and any information obtained by NEF for the
purpose of this Race without, the previous permission in writing from NEF officials, in any manner whatsoever
to any Person / individual/ organization / body corporate / agency etc.
3) I declare that all the decisions taken by the NEF or/and/by the Director or other members, or any other
person authorized by NEF for the purpose of completion of the Race in proper manner or in the interest of my
son/daughter/ward, in the circumstances then prevailing shall be binding on him/her.
4) I declare that after having understood all the Rules and Regulations and Terms and Conditions formed by
the NEF for K2S-The Monsoon Night Adventure Race and after being aware of this risks involved in the Race
have decided to permit my son/daughter/ward to participate in the Race on my own volition, responsibility and
without any coercion or influence by anyone. I shall not hold the NEF or its Director or any other members, or
any other person authorized by the NEF responsible on any count including any injury and/or damage to my
son/daughter/ward or to his/her person or property.
5) I declare that all the necessary information/documents furnished by me and my son/daughter/ward to the
organizers is true and correct to the best of my knowledge, belief and information.
In verification whereof I have signed below this Declaration on this ……………… day of …………. 2011.
Place : ……………………. Mr/Mrs……………………………………………………………...
Date : ……………………... Father/Mother/Guardian of ………………………………………
Phone No.: ………………………
_________________________
Signature of Parent / Guardian

9. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARTICIPANT
ANNEXURE – V (B)
I, ………………………………………………………………………………………………………………………………
………………………. Age ……….. Years, Occupation: ……………………………………………………………
……………………………………………………………………………………Residing at ………………..............
………………………………………………………………………………………………….. declare that,
1) I have gone through all the Rules and Regulations and the Terms And Conditions formed by the National
Education Foundation (NEF) for K2S-The Monsoon Night Adventure Race and have understood the same. I
am also aware that all this Rules and Regulations and the Terms and Conditions are binding on me as a
participant.
2) I declare that,I shall not disclose any information relating to any of the terms and conditions ,instance,
incident and any other matter taking palce during the Race and any information obtained by the NEF for the
purpose of this Race without the previous permission in writing from NEF Officials, in any manner whatsoever to
any person/organization/body agency etc.
3) I declare that all the decisions taken by the NEF or /and by the Director or other members, or any other
person authorized by the NEF for the purpose of completing the Race In proper manner or in the interest of
myself, in the circumstances then prevailing shall be binding on me.
4) I further declare that after having understood all the Rules and Regulations and the Terms and Conditions
formed by the NEF for the Race and after being aware of the risks involved ind the Race I have decided to
participate in the Race on my own volition, responsibility and without any coercion or influence by anyone
including my parents/guardians.
6) I shall not hold the NEF or its Director or other members or any other person autorised by the NEF
responsible on any count including any injury and/or damage to me/my person or my property.
I declare that all the necessary information/ documents furnished by me to the Organizers are true and
correct to the best of my knowledge, belief and information. ’In verification whereof, I have signed below this
declaration on this ……………………day of ………………….. 2011’.
Place: Name:………………………….
Date: Signature:…………………………
Phone No:………………………….
Witness:
Name : ………………………..
Address:…………………………………………..

10. NATIONAL EDUCATION FOUNDATION
CERTIFICATE OF PHYSICAL FITNESS
ANNEXURE – VI (B)
Name of the doctor : ………………………………………………………………………………………
Qualification : ………………………………………………………………………………………………
This is to certify that I have conducted clinical examination of
Mr. / Mrs. / Miss …………………………………………………………………………………………
who is desirous of participating in NEF K2S-The Monsoon Night Adventure Race
He has not given any personal history of any disease incapacitating him to undergo the physically
Demanding. Also on clinical examination it has been found that he is physically fit to undergo the above
mentioned Race.
Certified further that he has not shown any evidence of major defects of posture, locomotion, vision herein or any
other systemic disorder.
Even though the following deviations have been revealed.
1._________________________________________________________________________
2._________________________________________________________________________
3._________________________________________________________________________
I do not feel that this could hinder his participation in the above mentioned Race on any of the health ground/s.
……………….. ………….. ……………………………
PARTICIPANT DOCTOR PARENT/GUARDIAN
(STAMP)

11. NATIONAL EDUCATION FOUNDATION
PERSONAL INFORMATION FORM ANNEXURE –III (C)
NAME: ……………………………………………………………………….....................
TEAM NAME: ……………………………………………………………………………..
CATEGORY:…………………………………………………………………………………………………

ADDRESS :……………………………………………………………………………….. Self
Attested
……………………………………………………………………………………………… Photograph
PH. NOS.:………………………………………………………………………………….
E-MAIL:……………………………………………………………………………………..
___________________________________________________________________
NAME: ………………………………………………………………………………………
ADDRESS : ………………………………………………………………………………..
……………………………………………………………………………………………….
LANDLINE: ……………………………….. MOBILE: ………………………………….
__________________________________________________________________
OCCUPATION: ……………………………………EDUCATION: ……………………..
COLLEGE: …………………………………………………………………………………
YEAR/COURSE: ………………………………………………………………………..
BIRTH DATE: …………………………..AGE :…………………yrs.
M/F: ……………….. HEIGHT: ………………………. WEIGHT: …………………..
BLOOD GROUP: …………….
INSURANCE POLICY NO(compulsory) : ………………………….
SIGNATURE & NAME
PREVIOUS EXPERIENCE IN SPORTS: ……………………………………………… ________________
_________________

12. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARENT / GUARDIAN
ANNEXURE – IV (C)
I,………………………………………………………………………… age………………….. : years,
Occupation : ……………………………………,residing at ………………………………………….......................
……………………………………………………………………………………………………………………………..
The father/mother/guardian of Master/Miss ………………………………………………………………………….
age : ………………….Occupation,………………….. , residing at ………………………………………………….
declare that -
1) My son/daughter/ward is participating in K2S-The Monsoon Night Adventure Race 2011 with my permission
and consent, after I have gone through all the Rules and Terms and Conditions formed by the National
Education Foundation (NEF).
2) I declare that I shall not disclose any information relating to any of the terms and conditions, instances,
incident and any other matter taking place during the race and any information obtained by NEF for the purpose
of this Race without, the previous permission in writing from NEF officials, in any manner whatsoever to any
Person / individual/ organization / body corporate / agency etc.
3) I declare that all the decisions taken by the NEF or/and/by the Director or other members, or any other
person authorized by NEF for the purpose of completion of the Race in proper manner or in the interest of my
son/daughter/ward, in the circumstances then prevailing shall be binding on him/her.
4) I declare that after having understood all the Rules and Regulations and Terms and Conditions formed by the
NEF for K2S-The Monsoon Night Adventure Race and after being aware of this risks involved in the Race have
decided to permit my son/daughter/ward to participate in the Race on my own volition, responsibility and without
any coercion or influence by anyone. I shall not hold the NEF or its Director or any other members, or any other
person authorized by the NEF responsible on any count including any injury and/or damage to my
son/daughter/ward or to his/her person or property.
5) I declare that all the necessary information/documents furnished by me and my son/daughter/ward to the
organizers is true and correct to the best of my knowledge, belief and information.
In verification whereof I have signed below this Declaration on this………………day of………….2011.
Place :……………………. Mr/Mrs……………………………………………………………...
Date :……………………... Father/Mother/Guardian of ………………………………………
Phone No.: ………………………
_________________________
Signature of Parent / Guardian

13. NATIONAL EDUCATION FOUNDATION
DECLARATION BY PARTICIPANT
ANNEXURE – V (C)
I,
……………………………………………………………………………………………………………………………
………………………. Age ……….. Years, Occupation: ……………………………………………………………
……………………………………………………………………………………Residing at ………………..............
………………………………………………………………………………………………….. declare that,
1) I have gone through all the Rules and Regulations and the Terms And Conditions formed by the
National Education Foundation (NEF) for K2S-The Monsoon Night Adventure Race and have
understood the same. I am also aware that all this Rules and Regulations and the Terms and Conditions
are binding on me as a participant.
2) I declare that,I shall not disclose any information relating to any of the terms and conditions ,instance,
incident and any other matter taking palce during the Race and any information obtained by the NEF for
the purpose of this Race without the previous permission in writing from NEF Officials, in any manner
whatsoever to any person/organization/body agency etc.
3) I declare that all the decisions taken by the NEF or /and by the Director or other members, or any other
person authorized by the NEF for the purpose of completing the Race In proper manner or in the interest of
myself, in the circumstances then prevailing shall be binding on me.
4) I further declare that after having understood all the Rules and Regulations and the Terms and
Conditions formed by the NEF for the Race and after being aware of the risks involved ind the Race I have
decided to participate in the Race on my own volition, responsibility and without any coercion or influence
by anyone including my parents/guardians.
7) I shall not hold the NEF or its Director or other members or any other person autorised by the NEF
responsible on any count including any injury and/or damage to me/my person or my property.
I declare that all the necessary information/ documents furnished by me to the Organizers are true and
correct to the best of my knowledge, belief and information. ’In verification whereof, I have signed below
this declaration on this ……………………day of ………………….. 2011’.
Place: Name:………………………….
Date: Signature:…………………………
Phone No:………………………….
Witness:
Name : ………………………..
Address:…………………………………………..

14. NATIONAL EDUCATION FOUNDATION
CERTIFICATE OF PHYSICAL FITNESS
ANNEXURE - VI (C)
Name of the doctor : ………………………………………………………………………………………
Qualification : ………………………………………………………………………………………………
This is to certify that I have conducted clinical examination of
Mr. / Mrs. / Miss …………………………………………………………………………………………
who is desirous of participating in NEF K2S-The Monsoon Night Adventure Race 2011
He has not given any personal history of any disease incapacitating him to undergo the physically
demanding. Also on clinical examination it has been found that he is physically fit to undergo the above
mentioned Race.
Certified further that he has not shown any evidence of major defects of posture, locomotion, vision hearing
or any other systemic disorder.
Even though following the deviations have been revealed.
1._________________________________________________________________________
2._________________________________________________________________________
3._________________________________________________________________________
I do not feel that this could hinder his participation in the above mentioned Race on any of the health
ground/s.
……………….. ………….. ……………………………
PARTICIPANT DOCTOR PARENT/GUARDIAN
(STAMP)