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| 1 | Full Name of Applicant Player | : | ____________________________________________________________________________________ |
| 2 | Father's Full Name | : | ____________________________________________________________________________________ |
| 3 | Place & Date of Birth | : | ____________________________________________________________________________________ |
| 4 | Nationality | : | __________________________/____________________________/____________________________ |
| 5 | Passport No./Date/Place of Issue | : | __________________________/____________________________/____________________________ |
| 6 | Residence Permit No. & Validity | : | _____________________________________________/______________________________________ |
| 7 | Name of the Employer / Sponsor | : | __________________________________________/_________________________________________ |
| 8 | Address | : | P.O. Box :_____________________________________ Emirate : ___________________________ |
| - | Telephone No. / Facsimile No. | : | Tel : _________________________________________ Fax :________________________________ |
| - | Pager No. / Cellular No. | : | Pager :_______________________________________ Cell :________________________________ |
| 9 | Marital Status (tick off-one applicable) | : | Married : ____________________________________ Single :______________________________ |
| 10 | Blood Type (please elaborate) | : | ____________________________________________________________________________________ |
| 11 | Name of the Team | : | ______________________________________ Division______________________________________ |
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that I have read and correctly understood the interpretation of the applicable Laws of Cricket, and shall at all times, abide by the | |
| Rules and playing Conditions and decisions set by the Dubai Cricket Council; | ||
| ii | that I shall at all times, fully and consciously co-operate with my Team Management in companying with my Team's Undertaking to | |
| the Dubai Cricket Council, given at the time of Team's Registration; | ||
| iii | that I shall not, under any circumstances participate in a Cricket event / tournament which is not prescribed and defined as an | |
| activity of the Dubai Cricket Council or any other Cricket Council in the UAE; | ||
| iv | that I and / or my kith and kin shall hold the Dubai Cricket Council, Tournament Sponsors, the Team or the opposing Team in any | |
| match and / or scheduled program of matches free from any and all responsibility in case of death, or injury of any form of loss | ||
| before, during and after play on or off the Dubai Cricket Council designated grounds, as my participation is entirely at my own risk | ||
| and cost; | ||
| v | that I shall not play for any other Cricket Team unless approved by the Dubai Cricket Council. | |
| Kindly register me as a Member of _________________________________________ Team for 2007-2008 season. |
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| Manager's Name : _______________________________ |
Date : _______________________________ |
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Encl. : Passport Copy, 3 Stamp-size colour photographs, Registration Fee of AED. 15.00 |