|
|
|
|
Required fields are indicated with an asterisk (*)
|
|
|
First Name* |
: |
|
|
|
Middle Name |
: |
|
|
|
Surname* |
: |
|
|
|
Email* |
: |
|
|
|
Chat Id* |
: |
|
|
|
Height* |
: |
Feet
Inch |
|
|
Weight* |
: |
kg
|
|
|
Country* |
: |
|
|
|
Region* |
: |
|
|
|
Address * |
: |
|
|
|
State* |
: |
|
|
|
Town/City* |
: |
|
|
|
Postal Code * |
: |
|
|
|
Telephone * |
: |
|
|
|
Mobile
|
: |
|
|
|
Nationality* |
: |
|
|
|
Professional status* |
: |
|
|
|
Date of birth* |
: |
Year
Month
Date
|
|
|
Age |
: |
|
|
|
Place of birth |
: |
|
|
|
100m * |
: |
|
|
|
Playing foot* |
: |
|
|
|
Position* |
: |
|
|
|
|
|
If other:
|
|
|
Current activity* |
|
|
|
|
|
|
If other:
|
|
|
Playing Level* |
: |
|
|
|
Availability* |
: |
|
|
|
Current Club Details:
|
|
|
Club name* |
: |
|
|
|
League name* |
: |
|
|
|
Country* |
: |
|
|
|
Dates* |
: |
From :
To :
|
|
|
No of league goals scored* |
: |
|
|
|
No of league games played* |
: |
|
|
|
Previous Club if
any :
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
National Honour * |
: |
|
|
|
If Yes - Describe your national honour achievements |
: |
|
|
|
|
Do you have an agent * |
: |
|
|
|
If Yes |
: |
Agent Id (ex : AIDxxxx)
|
|
|
|
|
|
|
|
Colour* |
|
|
|
|
Language Known* |
: |
|
|
(To select multiple entries hold the Ctrl button and select) |
|
|
|
Your interest
|
: |
|
|
|
Playing Strength |
|
|
|
(In each box, describe your best qualities for example,
free kick specialist, power shot, fast runner,
excellent dribbling skills, long thrower, tall striker,
excellent header etc one skill per box) |
|
|
|
|
|
|
|
|
Future Ambition |
: |
|
|
|
|
|
|
|
|
|
Upload your CV* |
: |
(Only word format allowed.) |
|
|
|
Upload your passport size photo* |
: |
(Only JPG, JPEG and GIF format allowed.) |
|
|
|
|
|
|
|
|
Upload your full size photo* |
: |
(Only JPG, JPEG and GIF format allowed.) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|