No.5/1/2015-16/CCSCSB
Government of India
Ministry of Personnel, Public Grievances & Pensions
Department of Personnel \& Training
CENTRAL CIVIL SERVICES CULTURAL AND SPORTS BOARD

Room No.361, ‘B’ Wing, $3^{\text {rd }}$ Floor, Lok Nayak Bhavan, New Delhi-3
18.09.2018

CIRCULAR

Sub: Inter-Ministry Carrom Tournament 2018-19

Inter Ministry Carrom Tournament 2018-19 will be held from 22 ^nd October to $30^{\text {th }}$ October, 2018 at Grih Kalyan Kendra, Raja Bazar Community Centre, Gole Market, New Delhi. The Ministries desirous of participating in the Inter-Ministry Carrom Tournament are requested to send their entries in the Performa already circulated along with the entry fee of Rs.150/- for Team and Doubles Championship \& Rs. 75/- for singles to the Central Civil Services Cultural \& Sports Board, Department of Personnel \& Training, Room No.361, ‘B’ Wing, $3^{\text {rd }}$ Floor, Lok Nayak Bhawan, New Delhi-110003 by $12.10 .2018_{4}$
2. No entry will be accepted unless accompanied with fee. The entry fee should be deposited only through online mode in the Boards account. Details of Board’s account are as under:

Name: Secretary CCSCSB, A/c No: 90432010052140, IFSC Code : SYNB0009043, Bank : Syndicate Bank, Khan Market, New Delhi.

Payment can also be made through BHIM Application by scanning the following QR Code:

9717990948@upi

1. The Competition will be held in the following events:-

2. Team Championship ( 6 players, the matches will be played as per AICF norms for shorter version of the game)

3. Men’s Singles
4. Men’s Double
5. Women’s Singles
6. Veteran’s Singles ( 50 years and above)
7. The draw for the tournament will be held at 11 am on 15.10.2018, at Table Tennis Hall Nirman Bhawan, New Delhi.
   (Kulbhushan Malhotra)
   Secretary
   Copy to
8. All Welfare Officers in the Ministries/Departments
9. Notice Board.
10. Shri Rajendra Kumar, Convener (Carom) (9891028393)

Central Civil Services Cultural & Sports Board

(Department of Personnel & Training)

APPLICATION FORM FOR INTER MINISTRY TOURNAMENT

Year ………………….

1. Name of the Cultural/Sports Event ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

VERIFICATION CERTIFICATE

This Ministry intends to enter a team for the Inter-Ministry Tournaments / Competition. Accordingly, the entry form duly filled up is sent herewith. I hereby undertake on behalf of the Ministry to abide by the rules and instruction of the Tournament / Competition.
2. I certify that the participants mentioned in this form are employees of this Ministry / Department. No member of the team is a casual / daily wage employee. All the players are eligible to participate in the tournament / competition as per eligibility criteria laid down by the Board. In case if it is found that any member of the team is not eligible and is included in the team, the team will be automatically disqualified from the tournament / competition without any notice to this ministry / Department.
3. I also undertake the responsibility to ensure that this Ministry’s team after being entered in the Tournament / Competition will participate in the Tournament / Competition and at any stage would not refuse to participate or withdraw from the Tournament / Competition without prior approval of the Board.

Signature of Welfare Officer/ US (Admn.)
(Rubber Stamp)
Name
Tele. No (O) (Mobile)
e-mail if any.
Full Correspondence address