Full Name:
Photo (Passport Size):
Date of Birth:
Contact Number:
Your Email:
Address:
BatsmanRight HandLeft HandWicket KeeperOff SpinBowlerLeft ArmRight ArmFastLeg Spin
T-Shir Size:
SSMMLLXL
Trouser Size:
Note: Pay Your Registration Fee in the following Bank Account:-
Bank Name: BNU Account Name: Federacao de Criquete-Fc Account No:1125626910001 NIB: 0020112562691000162 IBAN: TL380020112562691000162 Swift Code: CGDITLDI
Upload (Fee Payment Proof):
I Confirm the Above is correct and I will abide by the requirements of the Timor Leste Cricket Board as set out in its rules and constitution.
Signature Consent (Parent/Guardian) only for U-17 players Please note that any parent/guardian for a junior player to play senior cricket will only be withdrawn upon written request of parent/guardian. Once Completed, this form is to be forwarded to the Registration Secretary with any clearance application.
Note: We respect your privacy: Cricket Timor Leste collects this information for the purposes of processing your application and the routine running of this Tournament. These details will not be passed onto anyone other than Sports body for cricket national /integration. Who is hosting and organizing this application for registration. Further information is available on the Cricket Timor Leste Website.
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