7TH RANKING ROLLER SKATING CHAMPIONSHIP 2024 - RAIPUR

ENTRY FEE PROFORMA
Team / State / UT :
Speed Skating
Speed-Quad 0 Skaters x 750 0
Speed-Inline 0 Skaters x 750 0
Relay 0 Teams x 2250 0
Mixed Relay 0 Teams x 3000 0
Marathon 0 Skaters x 750 0

Speed Skating Total :
Rs. 0
Artistic Skating
Artistic Figure/Free/Solo 0 Skaters x 750 0
Artistic - Inline 0 Skaters x 750 0
Pair Skating 0 Pairs x 1500 0
Couple Dance 0 Couples x 1500 0
Quartet 0 Teams x 3000 0
Precision - Cadet 0 Teams x 7500 0
Precision - Sub.Jr. 0 Teams x 7500 0
Precision - Junior & Senior 0 Teams x 9000 0
Show Group - Cadets & Sub.Junior 0 Teams x 7500 0
Show Group - Junior & Senior 0 Teams x 9000 0

Artistic Skating Total :
Rs. 0
Roller & Inline Hockey
Roller-Hockey 0 Teams x 7500 0
Mixed-Roller-Hockey 0 Teams x 7500 0
Inline-Hockey 0 Teams x 9000 0

Roller & Inline Hockey Total :
Rs. 0
Inline Freestyle
Classic Slalom / Speed Slalom 0 Skaters x 750 0
Pair Slalom 0 Pairs x 1500 0

Inline Freestyle Total :
Rs. 0
Others
Inline-Alpine 0 Skaters x 750 0
Inline-Downhill 0 Skaters x 750 0
Roller-Freestyle 0 Skaters x 750 0
Skateboarding 0 Skaters x 750 0
Roller-Scooter 0 Skaters x 750 0
Roller-Derby 0 Teams x 9000 0

GRAND TOTAL :

Rs. 0

Affiliation Fee of Rs.5000/- to be added if not paid already.

NEFT / DD / Transaction Reference No. ____________________________ Date_______________

I agree that, All the information furnished above are checked and verified correct. Any difference / due towards the actual payable amount should be paid and cleared before the Reporting Session / Start of the championship.




                                                                                            Seal & Signature of the Secretary (State / UT Unit)