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Complete the registration details below.
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indicates required fields.
Registration Year:
2010
Firstname:
*
Lastname:
*
ID Number:
*
(or passport number, if foreigner)
Nationality:
(if foreigner)
Gender:
*
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Date of Birth:
*
Residential Address:
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(suburb)
(postal code)
Postal Address:
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(suburb)
(postal code)
Tel (h):
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Tel (w):
Fax:
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Email Address:
County of birth:
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Afghanistan
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Occupation:
Employer:
Height:
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(cm)
Weight:
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(kg)
Category:
*
Senior
Junior
Master 30+
Beach
Recreational
Individual
Referee
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Administrator
Previous club:
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Select a club...
.................................................................
Did not belong to a club previously
Club not in the list below
.................................................................
All Star Saints
Amathuba
Cape Peninsula University of Technology
Correctional Services
Defence
Saints
South Peninsula
Stellenbosch University
University of Cape Town
University of the Westen Cape
West Coast
Western Province South African Police
Club:
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Select a club...
.................................................................
All Star Saints
Amathuba
Cape Peninsula University of Technology
Correctional Services
Defence
Saints
South Peninsula
Stellenbosch University
University of Cape Town
University of the Westen Cape
West Coast
Western Province South African Police
I hereby acknowledge that the above information is true and correct and that i hereby bind myself to the Constitution and Bye-Laws, Rules and regulation of my club, the provincial body anf those to whom it is affiliated. Any incorrect and/or false answer/s will render this registration null and void at the sole option of the management the union.
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© Western Province Volleyball Union
::
P.O. Box 2199, Clareinch, 7740, South Africa
::
Telephone +27 21 959 2207
::
Fax +27 21 959 2015