SURNAME:
FIRST NAME(S):
ADDRESS:
POSTCODE
DATE OF BIRTH / / PLACE OF BIRTH…………………………
NATIONALITY ……………………………. Telephone number …………………………..
MOTHER’S MAIDEN NAME ……………………………….
Have you SIGNED for any other club (in any League) this season (irrespective of whether you have played)
YES / NO
If YES name of club…………………………………………………….
All clubs played for in last 3 seasons …………………………………………………………………………...
………………………………………………………………………………………………...
I wish to register as a NON CONTRACT player with the club named below
F. C.
Have you ever been registered for a non English club YES/NO
If YES do you have an International Clearance in accordance with FIFA Regulations YES /NO IF YES PLEASE ATTACH COPY WITH THIS FORM
Have you ever been a Contract Player Yes/No
If Yes date of Cancellation of Contract......
(Please provide evidence from FA of cancellation)
Are you a member of HM Forces Yes/No IF YES INSERT SERVICE NUMBER ANDATTACH COPY OF AUTHORITY FROM APPROPRIATE SERVICES FA TO PLAYAS PER FA REGULATIONS ......
I confirm that I have read, signed and agree to abide by the Respect Code of Conduct and the sanctions that can be applied against me if I breach that Code.I agree to comply with the rules and regulations of the League and Hampshire FA and that I am aware that I may be issued with a pro rata share of any moneys owed if the club folds during the playing season.
PLAYER’S SIGNATURE DATE: / /
WITNESS TO
PLAYER’S SIGNATURE DATE: / /
NAME ANDADDRESSOF WITNESS:
HAMPSHIRE PREMIER FOOTBALL LEAGUE
Registration Form2016-2017
Notes:
It is a punishable offence for a player to sign a registration form for more than one club, except for the purpose of transfer.
Any player previously registered with a non English club requires an INTERNATIONAL CLEARANCE CERTIFICATE.
Any form not accurately completed will be returned and the player may be considered not correctly registered, with the possibility of disciplinary action.
FA REGULATIONDO NOT PERMIT ANY PERSON TO REGISTER IN THIS LEAGUE IF THEY ARE CONTRACTED TO ANY OTHER CLUB.
FOR LEAGUE USE ONLY
REGISTRATION NUMBER
DATE REGISTERED
GENERAL SUSPENSION
DUAL REGISTRATION
SECTION 2 (To be completed by the Club Secretary)Please register the player named above as a NON CONTRACT PLAYER for
F. C.
I confirm that I have checked to verify the player is not subject to a suspension.
I confirm that if the player has registered with any other club this season who play in a Saturday League(irrespective of whether they played for them)that the appropriate 7 days notice as required by FA regulations was submitted on (date of submission)......
SECRETARY’S SIGNATURE:
DATE: / /
THIS FORM MUST BE SUBMITTED BY E MAIL OR HARD COPY.
THE PLAYER WILL BE DEEMED REGISTERED WHEN THE LEAGUE SECRETARY CONFIRMS BY EMAIL THAT HE IS REGISTERED WITH THE ABOVE CLUB.
SIGNATURE OF THIS FORMINDICATES CONSENT TO THE INFORMATION PROVIDED BEING USED BY THE LEAGUE UNDER THE DATA PROTECTION ACT 1988