Membership Drive for Para Athletes
Membership Drive for Para Athletes
Membership Drive for Karnataka State Para Athletes has started, Para Athletes are requested to fill their details online using the link given and enroll their names and upload all necessary details without fail.
Athletes Database Management Systems will be useful for Demographic data, Sports Administrative information to determine with confidence the outcomes, quality, effectiveness, appropriateness & Statistical purposes.
Read Instructions Carefully:
*Please Fill all Necessary Details & Upload Mandatory disclosures,
Keep all necessary information & files scanned ready before you upload data online,
Avoid double entries & Confusion, before you press final sumbit button make sure you have entered correct information.
For New Athlete Registration online Form
https://ksaph.org/para-athlete-licence-2019-register
For View Athlete Mandatory Database Information
https://ksaph.org/para-athlete-licence-2019-view
For Athlete Database Identity Card
https://ksaph.org/athlete-id-card
Read Instructions Carefully:
*Please Fill all Necessary Details & Upload Mandatory disclosures,
Keep all necessary information & files scanned ready before you upload data online,
Avoid double entries & Confusion, before you press final sumbit button make sure you have entered correct information.
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Karnataka Sports Association for the Physically Handicapped KSAPH.Org Sri Kanteerava Stadium, Bangalore, Karnataka State. Questionnaire - Online Athlete Database Management Systems & Licence Fill in this questionnaire form neatly in sentence case, along with attested copies of relevant for online submission. |
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Particulars |
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Details |
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Personal Details |
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Athlete Photograph |
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Passport Size |
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Athlete Name* |
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Gender |
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Date of Birth* |
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Father Name* |
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Mother Name |
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Male / Female |
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District |
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Phone No.* |
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Alternate Phone No. |
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Email* |
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Valid Email* |
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Phone No.* |
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Alternate Phone No. |
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Address Permanent* |
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Postal Pin code* |
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Address Communication |
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Postal Pin code |
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Marital Status |
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Single / Married |
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ID Card: Aadhar * |
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Aadhaar Card Number |
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Identity Card Upload* |
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Scanned Identity Card Aadhaar Card |
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Education |
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Disability Certificate* |
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Scanned Disability Medical Certificate |
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Impairment |
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Physical / Visual / Dwarf / Cerebral-palsy / Intellectual |
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Blood Group |
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Height in Centimetres |
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Weight in Kilograms |
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Wheelchair? |
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Yes / No. |
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Games |
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Para Athletics, Swimming, Shooting, Powerlifting, Badminton, Boccia, W.Basketball, Sitting Volleyball, Archery, W.Tennis, Taekwondo, Para Chess, etc., |
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Classification |
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Para Sports: |
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IPC Licence Number – with Year* |
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Coach |
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Achievements |
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State Level: #. Performance, Event, Place, Year |
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National Level: #. Performance, Event, Place, Year |
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International: #. Performance, Event, Place, Year |
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Achievements: Awards, Place & Year |
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Undertaking |
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Undertaking* |
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form duly signed by Athlete & State Authority with Seal |
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Membership Fees |
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Licence Fees: |
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2000 /- |
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Mode of Payment |
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Online Gateway / Demand Draft / Bank Cheque / Cash with Bank / Direct |
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Date of Payment |
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Payment Receipt Reference No. |
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Payment Receipt* |
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Payment Receipt (.JPG File) |
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Note: Compulsorily enter the details of * asterisk marks, *Compulsorily upload the necessary documents in Good Resolution, For any Financial related / banking Inquiries,
kindly contact KSAPH office, Sri Kanteerava Stadium, Bangalore
Bank Details :
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Beneficiary Name |
Karnataka Sports Association for Physically Handicapped |
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Bank Account Number |
A/c. 0868 102 00000 3155 |
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Bank Name |
IDBI Bank |
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Address |
Shashwathi Arcade, No. 7, Attimabbe Road, |
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IFSC Code |
IBKL0000868 |
Undertaking Format - Declaration by an Athlete and Endorsement by Respective State Unit
Letter of Undertaking
I _______________________________________________ declare that the information provided by me are true and correct and if any information is found otherwise, I will be solely responsible without recourse to Karnataka Sports Association for the Physically Handicapped ( KSAPH ). I shall abide by all the rules and regulations issued by International Paralympic Committee, Paralympic Committee of India or Para Sports Associations / Federations, for which I shall be solely liable for its compliance.
I declare that I have verified all the information and facts provided to me.
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Signature of the Athlete*
Date: __________ Place: _________ |
Signature of Secretary / President & Seal of Karnataka Sports Association for the Physically Handicapped
Date: __________ Place: __________ |
