Registrations | Karnataka Roll Ball Association

Member Registration

Fill out your details to join the association.

First Name*

Middle Name

Surname*

Date of Birth*

Blood Group*

Gender*

Email Id*

Phone No*

+91

Country*

Skating Discipline*

Height (in cms)*

Weight (in Kg)*

Occupation*

Country Identity card/ Passport Type*

Country Identity card/ Passport No*

Residential Country*

Residential Address*

State/ County/ Province*

District/City*

Pincode/ Postal Code*

(School/ College/ Office/ Business) Name *

(School/ College/ Office/Business) Address*

District*

Pincode*

Aadhar Address*

State (Aadhar)*

District (Aadhar)*

Pincode (Aadhar)*

Organizations / Clubs *

For Karnataka Rollball Association members, please select Karnataka RollBall Association State Level

Identity Proof*

Aadhar Card, Passport, etc. Only jpg or jpeg file allowed

Member Passport Size Photograph*

Only jpg or jpeg file allowed

Birth Date Proof*

Bonafide, Aadhar Card, Passport. Only jpg or jpeg file allowed

Address Proof*

Aadhar Card, Passport, Electricity Bill. Only jpg or jpeg file allowed

Password*