Competition
item(s): Please Tick ( v ) as applicable
- On-the-Spot Painting
{
}
- Floor Decoration {
}
- Health Education (English/Hindi) {
}
- Recitation/Poetry (English/Hindi) {
}
- Personality Contest (Mr. SNA & Miss. SNA) {
}
- Sports: 100m Race
{ } (Male/Female) Discuss
Throw { v } (Male/Female) &
Javeline Throw
{ } (Male/Female)
- Talent Night
{
}
Whether Individual or Group Entry _______________________________________
Participant(s) has / have competed at State level:
Yes/No. Tick ( ) as applicable)
Name of Individual Participant____________________________________________
Names of Group Participants ______________________________________________
______________________________________________________________________
Name and Address of the SNA Unit:________________________________________
________________________________________________________________
SNA Unit Subscription Fee Paid on ___________________
TNAI Receipt No._______________
Entry Fee: Rs.25/- (Individual entry) ____________
and Rs.50/- (Group entry) _______________
Sent by M.O./ paid in cash. Tick ( v ) as applicable)
Date____________________________
Receipt No._______________________________________
RECOMMENDATION
This is to certify that the above stated competition
item(s) has/have been competed at the State level
and qualified for entering at the National level competition.
The competitor(s) is/are from SNA Unit which has paid
subscription for 2009.
__________________ _________________________________
Student(s) Signature (Seal
and Signature of the State SNA Advisor)
RULES
OF ENTRY FOR THE COMPETITION
1. All entries must have competed
at the State level. Only one entry from each State/UT
should be sent for the National competition.
2. In any group item, more than three
participants will not be permitted to participate
from each State.
3. Entry fee: MO/Cash of Rs.25/-
(Individual entry) and Rs.50/- (for group entry).
No entry fee for Talent Night items.
4. Last date of receiving the duly
filled form is August 30, 2009.
5. One form for each item (group
or individual).
6. Completed form(s) (with
signature of the State SNA Advisor) alongwith entry
fee to be sent to the SNA Advisor, L-17, Florence
Nightingale Lane, Green Park, New Delhi – 110016.
Entry fee payable to the Trained Nurses’ Association
of India.
Note: In any group item each contestant
should give his/her name and complete address in the
entry form for issuing meritcertificates.