🏑 Player Registration Form Personal Information 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 * Contact Information Residential Address * Home Contact No Mobile Contact No * Email Address * Education Name of School/ University * Standard / Form / Course * Emergency Contact Emergency Contact Person * Emergency Contact Number * Medical Information Medical History Membership Information Year Joining * Insurance Policy * YesNo Jersey Information 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. Δ
