[Name of former club, on former club’s letterhead] [Date submitted]

Proof signed by former club

that there is no TPO of the player’s economic rights

Player’s full name: [_____________________________________]

Date of birth: [_____________________________________]
Nationality(ies): [_____________________________________]

By signing this document, I confirm that my club has not entered into an agreement with a third party
(defined as any party other than the two clubs transferring the player or any previous club with which the
player has been registered) regarding the above-named player’s economic rights.

Signed:

--------------------------------------------------------
[Print name of official club signatory]
[Date of signature]
 Proof signed by player
that there is no TPO of the player’s economic rights

Player’s full name: [_____________________________________]

Date of birth: [_____________________________________]
Nationality(ies): [_____________________________________]

By signing this document, I confirm that I have not entered into an agreement with a third party (defined as
any party other than the two clubs transferring me or any previous club with which I have been registered)
regarding my economic rights.

Signed:

--------------------------------------------------------
[Print name of player]
[Date of signature]