Player Registration by admin November 16, 2020 Please enable JavaScript in your browser to complete this form.Name Of the player(खेलाडीको नाम) *Date of Birth of Player ( खेलाडीको जन्म मिति ) *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Blood Group of Player (खेलाडीको रगत समूह )A+A+A-B+B-AB+AB-O+O- Address (ठेगाना ) * Name of the Village or City with street and house number (सडक र घर नम्बरको साथ गाउँ वा शहर को नाम)Ward No (वार्ड नं ) *Na Pa/ Ga Pa ( न. पा / गा. पा ) *District (जिल्ला ) *State (प्रदेश ) *Province No. 1Province No. 2Bagmati ProvinceGandaki ProvinceLumbini ProvinceKarnali ProvinceSudurpashchim ProvincePhone (फोन ) *Email (इमेल)Name Of team you are playingEmergency contact Name *PhonePhoto Upload (फोटो अपलोड ) Click or drag a file to this area to upload. Rename the picture with your NameAgreementI certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission. If admitted, I agree to abide by the policies and the rules and regulations of the Club. Do you understand and agree to the terms listed above? *Yes, I understand and agree to the terms listed above. Events, activities, programs, and facilities of the college are available to all without regard to race, color, marital status, sex, religion, national origin, disability, age as provided by law and in accordance with Cupon’s respect for personal dignity.Signature (सही छाप )Clear SignatureEmailSubmit