REGISTRATION FORM FOR “A” LICENCE
FOR FOREIGN PLAYERS
2015/2016 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. 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. A player with dual nationality will be registered with the
legal nationality in the passport presented.
2. Letter of clearance where applicable / For players coming from USA academic institutions Letter of Clearance
issued by USA Basketball and Self-Declaration where applicable (an additional Letter of Clearance may be
required according to the circumstances)
PLEASE RETURN THE DULY COMPLETED FORM TO THE OFFICES OF FIBA EUROPE