Rajasthan Cricket Association

SMS Stadium, North Pavillion, Ambedkar Circle, Jaipur 302005 Rajasthan INDIA
 Phone: +91-141-5117001/3  Fax: +91-141-5117002  www.cricketrajasthan.in  E-mail: rca@cricketrajasthan.in 

Player Registration Form

Date : .................. Form No . . . . . . .

Affix Photo
Registration No.
For RCA Office use only

First Name

Sur Name

Date of Birth Attach certificate Right Hand Thumb Impression

(dd/mm/yyyy)

Place of Birth Village/City & Tehsil

Place of Birth District

Place of Birth State

Date of issue/
Certificate Details
Issuing Agency

Attach employment certificate.

Father’s Name
If self employed/unemployed,
DOB attach affidavit.

Place of Birth

Occupation
Date of issue / Issuing Agency.
Certificate Details

Residential & Communication Details

Residential
Address
City Pin Code

District State

Phone Mobile

E-mail

(Attach certificate given by approved authorities**)

 Rajasthan Cricket Association Player Registration Form

Passport Details

Passport No Place of Issue

Issue Date Expiry Date

Playing Details

Batting Style L - For Left Hand Batsman R - For Right Hand Batsman

Bowling Style L - for Left Arm Bowler R - for Right Arm Bowler U - for undefined

Proficiency in Bowling M - Medium Pace F - Fast Medium O - Off Spinner L - Leg Spinner U - Undefined

Wicket Keeper (Yes/No)

Under Age Group Applied for Current Year of Reg.

Blood Group Details

Attach certificate
Blood Group
Blood Group Date of issue/
Certificate Details Issuing Agency

Medical Details

Age as per Medical Test

Date of Age
Determination Test
(Bone test)

Academic Details
Name, Address & Phone No. of the Institution
Class Year
Name of the School / College Tehsil District

VIII

XII

Grad.

P. Grad.

Rajasthan Cricket Association Players Registration Form No . . . . . . . . . . Page 2

 Rajasthan Cricket Association Player Registration Form

Particulars as player in Nationals and State Championships

Participation in State Championships Participation in National Championships
Year
U-14 U-16 U-19 Seniors U-14 U-16 U-19 Seniors
2008-09 Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
2009-10 Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

2010-11 Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

20011-12 Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

The information mentioned above is true at the best of my knowledge.

Date : Signature of Father/ Legal Guardian with

full Name

The Information above is correct and true to the best of my knowledge and nothing has been hidden. I take full
responsibility regarding correctness and validity of information given by me. I will abide by the rules and
regulations of Rajasthan Cricket Association.

Signature of Applicant Player

The Signature of the player applicant is done in my presence. The Signature and photo of the applicant is
attested. All entries in the form has been checked properly with record of the District Cricket Association and
that the contents of the above mentioned form are true and correct and nothing material has been concealed.

The Player has been registered with District Cricket Association ________________________________________with Registration
.
No. ____________________ dated ____________________

Hony. Secretary
District Cricket Association
(Signature, Full Name with Seal)

Enclosures :
Sr. # List of Documents Date of issue Issuing Agency & Officer

Rajasthan Cricket Association Players Registration Form No . . . . . . . . . . Page 3

 Rajasthan Cricket Association Player Registration Form

Guidelines for Players Registration Form :

PHOTOGRAPHS : Recent passport size photographs (Three) in colour showing frontal
view of full face are required. One photograph is to be pasted on form
and two to be clipped/stippled, which is to be filled in duplicate. Black
and white photograph, photograph with coloured or dark glassess,
Dark Background or in uniform, Polaroid prints or computer prints
will not be accepted.The colour photographs should have a light
background (preferably white) and should show the full face of the
applicant frontally. In the box meant for affixing the photograph,
please paste your recent and identical colour photograph of size 3.5
cm x 3.5 cm

Signature/thumb impression should be strictly within the box without touching the boundaries.
Thumb impression should be of left hand in case of males and right
hand in case of females. (Blue/ Black ball pen to be used for
signatures)

PLACE of BIRTH: Mention name of place like Village / Town, District and if born outside
Rajasthan , mention name of place and Sate.

DATE OF BIRTH: The date of birth is filled as dd/mm/yyyy and in words as shown in the
birth certificate issued by Municipal/Government Authorities. Proof
of date of birth is to be attached.

Enclosures : Photocopies of all documents that are attached as enclosures along

with the application form should be listed in the blank spaces provided
and each document self attested by the applicant

Rajasthan Cricket Association Players Registration Form No . . . . . . . . . . Page 4