Player Registration by admin November 16, 2020 Please enable JavaScript in your browser to complete this form.Name Of the player(рдЦреЗрд▓рд╛рдбреАрдХреЛ рдирд╛рдо) *Date of Birth of Player ( рдЦреЗрд▓рд╛рдбреАрдХреЛ рдЬрдиреНрдо рдорд┐рддрд┐ ) *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Blood Group of Player (рдЦреЗрд▓рд╛рдбреАрдХреЛ рд░рдЧрдд рд╕рдореВрд╣ )A+A+A-B+B-AB+AB-O+O- Address (рдареЗрдЧрд╛рдирд╛ ) * Name of the Village or City with street and house number (рд╕рдбрдХ рд░ рдШрд░ рдирдореНрдмрд░рдХреЛ рд╕рд╛рде рдЧрд╛рдЙрдБ рд╡рд╛ рд╢рд╣рд░ рдХреЛ рдирд╛рдо)Ward No (рд╡рд╛рд░реНрдб рдирдВ ) *Na Pa/ Ga Pa ( рди. рдкрд╛ / рдЧрд╛. рдкрд╛ ) *District (рдЬрд┐рд▓реНрд▓рд╛ ) *State (рдкреНрд░рджреЗрд╢ ) *Province No. 1Province No. 2Bagmati ProvinceGandaki ProvinceLumbini ProvinceKarnali ProvinceSudurpashchim ProvincePhone (рдлреЛрди ) *Email (рдЗрдореЗрд▓)Name Of team you are playingEmergency contact Name *PhonePhoto Upload (рдлреЛрдЯреЛ рдЕрдкрд▓реЛрдб ) 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 CuponтАЩs respect for personal dignity.Signature (рд╕рд╣реА рдЫрд╛рдк )Clear SignatureNameSubmit