MFA Player Registration 2021

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.

Amount is payable to:
CIMB
8007149104
Persatuan Floorball Malaysia

Payment Receipt*

Payment Details

MFA 2021 Registration Fee*

Total RM 0

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