1ST ICESTOCK SPORTS WEST ZONE CHAMPIONSHIP 2023

Organised by : ICESTOCK SPORTSASSOCIATION OF DNH&DD

ID FORM PLAYERS / REFEREE / COACH

Full Name (Capital letter) -------------------------------------------------------------

Father’s name---------------------------------------------------------------------------------------

Address---------------------------------------------------------------------------------------------------------

Contact No. : --------------------------------Date of Birth : Age :

Blood Group : Designation : _

Name of state. Association: _

Gender :

DECLARATION BY THE PLAYER

I undersigned that by signing this form, I am not allowed to play from any other state other than my place of birth without the prior
permission of my state Icestock Sport Association in writing. I also agree to be bound by the constitution, regulations, bylawsand policies of
the relevant State with jurisdiction and control over the competition. I am playing in and that I am also bound by the Icestock Sport
Association of DNH&DD)Rules and Regulations by virtue of being deemed to be a ‘person’ as defined in thoseregulations.
I hereby declare that the all information given above are true to best of my knowledge.I will take responsibility about my behavior and injury
during this competition.

Applicant/ Parent state Secretary DNHDD Secretary

signature