That I have carefully read the provision of the scheme for the Jaipal Singh Munda Awards for the outstanding Performance in sports and Game’s and hereby accept all its provisions. I have never been penalized for any unfair practice like age fraud, doping etc.

Note: In case any enquiry has been initiated or warning given, details should be given by sportsperson.
Recommendation from the nominating agency (i.e. State Government/National Sports Federation/ State Sports Federation / India Olympic Association/ Jharkhand Olympic Association or etc.)