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PREMIER LEAGUE

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APPENDICES <strong>PREMIER</strong> <strong>LEAGUE</strong> FORMS<br />

<strong>PREMIER</strong> <strong>LEAGUE</strong><br />

AMATEUR REGISTRATION FORM (Rule U.13)<br />

Player’s Particulars<br />

Surname Other name(s)<br />

Address<br />

Post Code<br />

Date of birth Nationality*<br />

Application to Register<br />

We hereby apply for the above-named to be registered as an Amateur Player for<br />

Football Club.<br />

Signed<br />

Date<br />

Authorised Signatory<br />

Endorsement by Scout<br />

I consent to the above application and consent pursuant to Schedule 2 and Schedule 3 of the Data Protection Act<br />

1998 to The Football Association Premier League Limited holding and processing the above “personal data” and<br />

“sensitive personal data” for the purpose of discharging its functions as a regulatory and governing body of<br />

football. I certify that the above particulars are correct. I agree to be bound by the Rules of the Premier League.<br />

[Having been registered as a Contract Player, I confirm that at least 30 days has elapsed since my contract<br />

registration terminated. **]<br />

Signed<br />

* if the player last played for a club affiliated to a national association other than the Football Association, this Form must<br />

be accompanied by written confirmation from the Football Association that an international registration transfer<br />

certificate has been issued in respect of the player.<br />

** delete words in brackets if inapplicable<br />

Secretary’s Certificate<br />

I hereby certify that I have this day registered [name of Player]<br />

as an Amateur Player whose registration is held by Football Club<br />

274<br />

Date<br />

Signed<br />

Date<br />

Form 28<br />

Secretary, the Premier League

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