Team Registration by admin November 16, 2020 Please enable JavaScript in your browser to complete this form.Name Of the Team (टिमको नाम ) *Information of Players (खेलाडीको हरुको जानकारी )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-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-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-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-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-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-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-INFORMATION OF THE TEAM (टीमको जानकारी) 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 the Manager (मेनेजर को नाम ) *Phone (फोन ) *Photo Upload (फोटो अपलोड ) Click or drag a file to this area to upload. Rename the picture with your NameParticipation Disclaimer1. I acknowledge that futsal is a contact sport and I participate in this competition, which involves some risk to my safety at my own risk. 2. In consideration of and as a condition of my entry in this competition for me, my respective heirs, executors and administrators, I hereby waive all and any claim, right or cause of action and forever release and discharge all persons, corporations 3. I 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. By signing this form, players/ Team acknowledge and agree to the conditions of entry and to abide by the competition rules *Yes, I/we 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 SignatureMessageSubmit
