Student Admission/Registration || Learning Cricket Academy Khagaria

Cricket Academy Student Admission/Registration Form

👤 Personal Information

Full Name*

Aadhar No*

Gender*

Father's Name*

Father's Occupation*

Mother's Name*

Mother's Occupation

Guardian Name*

Guardian Relationship*

Guardian Mobile Number *

+91

🎂 Birth & Identification

Date of Birth *

Blood Group *

Identification Mark 1 *

Identification Mark 2

📞 Contact Information

Mobile Number *

+91

Alternate Mobile Number

+91

🏠 Address

Permanent Address *

Correspondence Address ( Same as Permanent Address )

🏦 Bank Details

Account Holder Name *

Name of the Bank *

Branch Name *

Account Number *

IFSC Code *

🏏 Player Details

Batting Hand *

Bowling Hand *

Playing Role *

Wicket Keeper *

📂 Document Uploads (Max size: 2MB | JPG / PNG)

Player Photo *

Player Signature *

Father's Signature *

Date of Birth Certificate *

Aadhaar Card (Both Sides) *

School ID Card

I further acknowledge that the registration fee is ₹2100, which is to be paid after filling out the form. Payment should be made via UPI to lalitkhg@oksbi (Karamvir Kumar). I will send a screenshot of the payment to +91 8863 049 255. My registration will only be confirmed upon receipt of the payment screenshot.

Download LCA Rules and Regulations PDF