Full Name *
Date of Birth *
State of Birth * Select StateJohorKedahKelantanMelakaNegeri SembilanPahangPerakPerlisPulau PinangSabahSarawakSelangorTerengganuWilayah Persekutuan Kuala LumpurWilayah Persekutuan LabuanWilayah Persekutuan Putrajaya
Gender *
MaleFemale
Blood Group * Select Blood GroupA+A-B+B-AB+AB-O+O-
IC Number / Passport Number *
Residential Address *
Home Contact No
Mobile Contact No *
Email Address *
Name of School/ University *
Standard / Form / Course *
Emergency Contact Person *
Emergency Contact Number *
Medical History
Year Joining *
Insurance Policy *
YesNo
Note: Jersey name usually uses the player's first name.
Jersey Name *
Jersey Size * Select SizeYSYMYLXSSMLXL2XL3XL
Registration Fee: Initial Payment RM 100Monthly Payment RM 120
I hereby confirm that all information provided is true and correct.
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