FUTSAL MALTA ASSOCIATION
Registration of a Futsal Player with the Futsal Malta Association
FORM ‘R’
(As per part 5 of the FMA Statute)
Season 2015-16
I, the undersigned, whose particulars appear hereunder, desire to register as a player of the Futsal Malta Association. I confirm the
correctness of these particulars and oblige myself that I will inform the FMA of any changes in the particulars appearing hereunder. I
also undertake that once I have been registered, I shall be subject to the jurisdiction of the FMA and will observe all the rules, byelaws, regulations and decisions of the FMA as may be in force from time to time.
Particulars of Player (to be filled in block letters) & Signature
Name & Surname of Player
Player Status:
Amateur Player
Professional Football Player
Professional Futsal Player
Number of years of Contract (where applicable)
Address
Date and Country of Birth
Nationality/Nationalities
Govt. I.D. Card No, if any,
MFA Player's I.D. No
Signature of Player
Signed in the presence of
2.
Passport/s No, if any
Last Club Registered for and Season, if any,
Date
Govt. I.D. No
Address of Witness
Signature of Witness
Date
Request by the Registering FMA Member Club
I request the FMA to register the player whose particulars appear above as a Futsal player of my said Member Club.
Name of Member Club
Name of Member Club Official
Signature of Member Club Official
Name of FMA Council Member
Signature of FMA Council Member
Date
This Form must be filed with the FMA within seven (7) days of the player's signature. Furthermore, the Form must be accompanied
by all those other documents as may be stipulated in the relevant FMA rules, regulations and bye-laws. For the avoidance of doubt,
the registration Form of a Professional Futsal Player must be accompanied by with a certified true copy of the player’s professional
futsal contract.
Data Protection
The personal information provided in this Registration Form R shall be processed in accordance with the provisions of the Data
Protection Act (Cap. 440 of the Laws of Malta) and shall be processed mainly for the purpose(s) of registration, affiliation with the
FMA and the FMA Member Clubs, affiliation with the MFA and the MFA Member Clubs, participation in Futsal Competition
organized locally or overseas, as well as for affiliation purposes with any of FMA’s commercial partners.
I consent that my personal information may be disclosed to any FMA official, employee or representative, any FMA Member Club,
to FIFA, UEFA or the MFA, to any other MFA Member Associations, FMA commercial partners or service providers as well as to any
law enforcement body, regulatory authority or governmental department. Moreover, your personal information may be disclosed
freely in a Court of Law or other competent decision making body or tribunal.
I am being duly informed that I have the right to request access to your personal data from the General Secretary of the Futsal
Malta Association.
I am hereby giving my unconditional consent to the FMA to store and process the information appearing on this Form in any manner
in which it may deem fit and proper and may share this information with its employees, Member Clubs and Member Association
and FMA commercial partners. I declare that the FMA may continue to keep this information until I would have informed it in
writing of my resignation as a player provided that on my resignation I would have fulfilled all my obligations towards the FMA as its
registered player.
I do hereby authorise the FMA to process the data contained in this form for the above-stated purpose(s).
Name & Surname of Player
Signature of Player
Signed by the player in the presence of
FOR FMA ADMINISTRATION USE ONLY
I do hereby certify that I have today received the Registration Form of a Futsal Player
MFA ID card No
with
F.C.
Without prejudice to the validity or otherwise of this form in accordance with the rules, regulations and bye-laws of the FMA and
which remains the responsibility of the registering Club.
Date
FMA General Secretary