TEAM ENTRY FORM COMPETITION: EEXIN MASTERS WORLD CUP 2018 COMPETITION DATES 27th July – 5th August 2018 COUNTRY MENS WOMENS AGE GROUP Shirt Family Name First Name Passport No. Date of Birth GK No. [PRINTED – BLOCK LETTERS] [PRINTED - BLOCK LETTERS (dd/mm/yyyy) Team Manager: Coach: Team Doctor: Assistant Coach: Trainer/Therapist: Physiotherapist: TEAM COLOURS ALTERNATE COLOURS Shirt: Shirt: Shorts/Skirt: Shorts/Skirt: Socks: Socks: Goalkeeper shirt: Goalkeeper shirt: comprise different colour to both primary and alternate colour of shirt) comprise different colour to both primary and alternate colour of shirt) (Must (Must Goalkeeper shirt must comprise different colour to both primary and alternate colour of shirt CERTIFICATE OF NATIONAL ASSOCIATION: We certify that these players are, so far as the National Association is aware, eligible to represent their team in accordance with the current Regulations for FIH. National Association: Date: Signature: Name:
TEAM ENTRY FORM COMPETITION: EEXIN MASTERS WORLD CUP 2018 COMPETITION DATES 27th July – 5th August 2018 COUNTRY MENS WOMENS AGE GROUP Shirt No. Family Name [PRINTED – BLOCK LETTERS] First Name [PRINTED - BLOCK LETTERS Passport No. Date of Birth (dd/mm/yyyy) GK Team Manager: Team Doctor: Trainer/Therapist: Coach: Assistant Coach: Physiotherapist: TEAM COLOURS ALTERNATE COLOURS Shirt: Shorts/Skirt: Socks: Goalkeeper shirt: (Must comprise different colour to both primary and alternate colour of shirt) Shirt: Shorts/Skirt: Socks: Goalkeeper shirt: (Must comprise different colour to both primary and alternate colour of shirt) Goalkeeper shirt must comprise different colour to both primary and alternate colour of shirt CERTIFICATE OF NATIONAL ASSOCIATION: We certify that these players are, so far as the National Association is aware, eligible to represent their team in accordance with the current Regulations for FIH. National Association: Date: Name: Signature: