MFA Player Registration 2021 – Malaysia Floorball Association

Malaysia Floorball Association Player Registration 2021

This registration will be for the year 2021. Registration will be confirmed upon confirmation of payment and upon receiving a confirmation e-mail.

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General Information

Full Name (as per MyKad/Passport)*

Phone Number*

E-Mail Address*

Nationality*

Malaysian

Other

IC Number*

Passport Number*

Birth Date*

Gender*

Height*

Country of Birth*

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Emergency Contact

Name*

Phone Number*

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Residential Address

Country*

State / Province*

City*

Postcode / Zip*

Street Address 1*

Street Address 2

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State & Club Information

Current State Association*

Previous State Association (as of 2020)

Current Club*

Previous Club (as of 2020)

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Parental Consent

Parental Consent*

I confirm that I am the parent/guardian of this person and consent to this person registering as a player under the Malaysia Floorball Association.

Parent/Guardian Full Name*

Parent/Guardian IC Number*

Parent/Guardian Phone Number*

Parent/Guardian E-mail Address*

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Registration Fee

The annual fee for registration with the Malaysia Floorball Association is RM10. The registration will only be approved upon confirmation of payment.
*The registration fee of RM10 is non-refundable.
**Payment shall be made for only 1 (ONE) Player per registration.

Amount is payable to:
CIMB
8007149104
Persatuan Floorball Malaysia

Recipient's Reference: (name)
Other Transfer Details: mfa2021fee

Payment Receipt*

Payment Details

MFA 2021 Player Registration Fee

This registration fee is only valid for the year 2021

Total RM 0