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APPLICATION FORM

Registration Fees Rs.200/-

Registration Fees is Not Refundable

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Name :*
Address :
Date of Birth :*
Village :*
District :*
Pin Code :*
State :*
Country :*
Contact No :*
AlterNet No :*
Email ID :*
Proof of Identity :*
 Election Card License Aadhar Card Passport
ID No. :*
Gender :*
 Male Female
Division :*
 15 to 19 20 to 50
Payment Details :*
 Case Cheque Debit D.D
Player History: Attention : This Selection must be completed
with which club did the player last register ?
In which country did the player last register ?
In which year did the player last register ?
Has the player ever registered to play cricket in another country ?
 Yes No
TECHNICAL / CRICKET INFORAMATION.

(Please Tick)

Expertise :*
 Batsman RH/LH Fast Bowler RH/LH Spinner Left Arm / Off Spinner / Leg Spinner Wicket Keeper All-Rounder
Present Status(Profession) :*
 Service Government Private Self Employed Unemployed

Achievement In Cricket (If Any)