Student Admission Application

Learning Cricket Academy, Khagaria

Affiliated to Khagaria District Cricket Association • Koshi College Campus, Khagaria - 851205 (Bihar) • Estd 1983

Cricket Academy Student Admission Form

Please complete all required fields carefully. Submitting this form creates a formal admission application that will be reviewed by the academy administration.

Section A — Personal Information

Full Name *

Aadhaar Number * 12-digit unique Aadhaar number

Gender *

Father's Name *

Father's Occupation *

Mother's Name *

Mother's Occupation

Guardian Name *

Guardian Relationship *

Guardian Mobile Number *

+91

Section B — Birth & Identification

Date of Birth *

Blood Group *

Identification Mark 1 *

Identification Mark 2

Section C — Contact Information

Mobile Number *

+91

Alternate Mobile Number

+91

Email Address

Section D — Address

Permanent Address *

Correspondence Address

Same as Permanent

Section E — Bank Details

Account Holder Name *

Name of the Bank *

Branch Name *

Bank Account Number *

IFSC Code * 11-character Indian Financial System Code

Section F — Cricket Profile

Batting Hand *

Bowling Hand *

Playing Role *

Wicket Keeper *

Section G — Document Uploads Max 2MB per file

Player Photo * Passport size image (JPG, PNG • Max 2MB)

Player Signature * Applicant's clear signature (JPG, PNG • Max 2MB)

Father's Signature * Father's / Guardian's signature (JPG, PNG • Max 2MB)

Date of Birth Certificate * Birth certificate issued by Municipal / Hospital / School (JPG, PNG, PDF • Max 2MB)

Aadhaar Card (Both Sides) * Aadhaar Card front & back scan (JPG, PNG, PDF • Max 2MB)

School ID Card Optional: School ID card scan (JPG, PNG, PDF • Max 2MB)

Section H — Registration Fee & Acknowledgment

Academy Admission Fee: ₹2,100 (One-Time Registration)

The admission registration fee is ₹2,100. Please note that submitting this form registers your application for administration review. Submitting this form does not automatically confirm admission or mark payment as received.

UPI ID: lalitkhg@oksbi (Karamvir Kumar)

Send Payment Screenshot to: +91 8863 049 255

Please mention your Application Reference Number when sending the payment screenshot.

I acknowledge that the registration fee is ₹2,100, payable via UPI to lalitkhg@oksbi (Karamvir Kumar). I understand that admission is subject to administration review, document verification, and receipt of payment screenshot, and that submission of this form does not automatically confirm admission or create student portal access.

Download LCA Rules and Regulations PDF

Student Admission / Registration

Learning Cricket Academy, Khagaria

Cricket Academy Student Admission Form

Academy Admission Fee: ₹2,100 (One-Time Registration)