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Complete the registration details below. * indicates required fields.

 

 
Registration Year: 2010  
Firstname: *  
Lastname: *  
ID Number: *  (or passport number, if foreigner)  
Nationality:  (if foreigner)  
Gender: *  
Date of Birth: * Calendar  
   
Residential Address: *  
 
 (suburb)  
 (postal code)  
Postal Address: *  
 
 (suburb)  
 (postal code)  
   
Tel (h): *  
Tel (w):  
Fax:  
Cell:  
Email Address:  
County of birth: *  
   
Occupation:  
Employer:  
   
Height: *  (cm)  
Weight: *  (kg)  
   
Category: *
Senior
Junior
Master 30+
Beach
Recreational
Individual
Referee
Coach
Administrator
 
   
Previous club: *  
Club: *  
   
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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