Cricket Registration Form – Fill Out and Use This PDF

Nat ional Crick et Academ y

Pe r son a l I nf or m a t ion :

First Nam e: ______________________								Last Nam e: __________________________
Dat e of Birt h ( DD/ MM/ YY) :			-			-			Sex : £ Male	£ Fem ale

Fat her’s Nam e: ________________________________________________________

Address: ______________________________________________________________

Cit y : ________________	St at e: _____________		Post al Code: ________________
Count ry : _____________________		Nat ionalit y : ____________________
Ph: _______________	Fax : _______________		Em ail: ____________________
Passport # : ______________________		Blood Group: _____________

Pr of e ssion a l I nf or m a t ion :

Qualificat ion ( m ost recent ) : ____________________

Language Proficiency ( Speak , Read, Writ e) : £ English ___ _____ ______ _____ _____ _

£Ot her ____ _____ ______ _____ _____ _

Sk ills:	£	Bat t ing	£	Bowling	£	All- rounder
Bowling Skill:	£	Fast	£	Spin	£	Medium - Fast

No. of Regional/ First Class m at ches on Credit : ______________

Please describe y ourself as a play er:

_______ ______ _____ _____ ______ _____ _____ ______ ___ _______ ______ _____ _____ ______ _____ _____ _

_______ ______ _____ _____ ______ _____ _____ ______ ___ _______ ______ _____ _____ ______ _____ _____ _

_______ ______ _____ _____ ______ _____ _____ ______ ___ _______ ______ _____ _____ ______ _____ _____ _

Fa cilit ie s & Fin a n cia l Cost

Coaching		Accom m odat ion	Phy sical Training
Educat ion		Medical & Healt h	Food/ Diet
I n - door Pract ice		Out - door Pract ice	Gy m nasium
Swim m ing Pool		Transport at ion	Ent ert ainm ent & Ex cursions
Aca de m y Fe e :	£ USD $ 2000 OR £ BPS £1500
D u r a t ion : 2	- Week s	Any planned dat es: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Any Special I nt erest s/ Requirem ent s during t raining: _____________________________

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Nat ional Crick et Academ y

Obj e ct ive s & Ex pect a t ions

Please prov ide any com m ent s t hat m ight be helpful t o underst and y our obj ect iv es and ex pect at ions wit h t his v isit :

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Pa ck a ge D e t a ils

1 .	Officials will be provided accom m odat ion facilit y in t he Guest Room s whereas players
	will be prov ided accom m odat ion in Play ers Room s.
2 .	The Academ y Fee m ust be paid in adv ance at t he t im e of confirm at ion .
3 . The pack age fee does not include t he Visa and Air t ick et charges.
4 .	Transport at ion facilit y includes t he Pick - n - Drop facilit y	from t he airport and t raveling
	for ent ert ainm ent and local sit e seeing ex cursions.
5 .	Food/ Diet includes Diet Plan/ Menu for t he players t hat	include Break fast , Lunch and
	Dinner .
6 .	Visit ors will pay for facilit ies not included in t he pack age. These include facilit ies lik e
	Telephone, Mini- Bar and Food & Beverages ( ot her t han Diet / Menu) .
7 .	Ent ert ainm ent facilit ies include Gam es Room & TV Lounge.
8 .	NCA will be responsible for safet y and securit y of t he players during coaching.
9 .	Trainees will be ex pect ed t o follow t he policies, rules & regulat ions of NCA.

Fu r t h e r I n for m a t ion :

Please m ent ion areas on which y ou need furt her inform at ion:

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_________________
Play er’s Signat ure	Dat e: ____________

For N CA Use :

Receiv ing Dat e: ______________

Requirem ent Analy sis & Review

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Abilit y t o m eet Requirem ent s:	£ Yes	£ No
Reply Dat e: ______________
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Adm inist rat or NCA		Dat e: ___________

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