Coaches Registration form

Coach Details

Coach link – https://muportal.hockeyindia.org/coach_registration

Personal Details

First Name *

Middle Name

Last Name *

Gender *
Male Female

Email Id *

DOB *

Place of Birth *

Father / Husband Name

Mother Name

Contact Number *

Landline

Player Registratin ID

Coach Type *

CV (PDF ONLY)

Select Image *(JPG/PNG/JPEG ONLY)

Select Photograph

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 *

Medical Details

Height

Weight

Blood Group

Known Allergies

Identification Mark 1

Identification Mark 2

Hockey Coaching Qualifications & Experience

Career Summary Not Applicable

Organization *

Start Date *

End Date

Designation *

Achievements (Top 10)

Achievement detail

Details of Coaching Qualifications Not Applicable

Select Qualification *

Number *

Issue Date *

Hockey Playing Records/Sports & Physical Education

Details of Record

Confirm the followings

Computer Knowledge

Basic

Intermediate

Advance

1 ) Microsoft Word

2 ) Microsoft Excel

3 ) Microsoft Powerpoint

4 ) Microsoft Access

Language Proficiency

Basic

Good

Excellent