REGISTRATION FORM FOR “A” LICENCE
FOR FOREIGN PLAYERS
2013/2014 SEASON
To be filled in by FIBA Europe
National Federations must register annually all non-European foreign players and European foreign players in their country.
Male
Gender:
Female
Family name(s)
First name(s)
Date of birth
(day/month/year)
Place of birth
(city and country)
Nationality(ies) at birth
Current nationality(ies)
Club where registered at present
Country where registered at present
AUTHORISATION
(Please tick / fill in)
Same club or country:
YES
NO
Letter of clearance issued by the
National Federation of:
Country
Club where the player was
previously registered
Country where the player was
previously registered
Date
(day/month/year)
Season in which the player
was previously registered
I certify that the above information is true.
Date
Signature and stamp of the National Federation
Enclosures:
1. Letter of clearance or statement for players coming from US academic institutions.
2. Photocopy of the player’s passport showing his/her full names (and, if applicable, his/her former name(s), date
and place of birth, legal nationality and date of expiry.
N.B.:
A player with dual nationality will be registered with the legal nationality in the passport presented.
PLEASE RETURN THE DULY COMPLETED FORM TO THE OFFICES OF FIBA EUROPE
FIBA Europe e.V.
Ismaningerstr. 21
81675 Munich
Germany
Tel.: (+49 89) 78 06 08 0
Fax: (+49 89) 78 06 08 59
[email protected]
www.fibaeurope.com