_PLAYER REGISTRATION FORM_
Please note that this form must be accompanied by the following:
• CERTIFIED copy of the player's identity document (which must depict the player's photo and ID number)
• Passport sized COLOUR photograph with WHITE BACKGROUND
• Where applicable and in the absence of a copy of the South African Identity document, a copy of the
player’s passport (which must depict the player’s photo and passport number)
• Where applicable, a duly authorised transfer/clearance certificate accompanied by the player’s ID card
• A valid and duly completed Player Medical Form, completed by an authorised medical practitioner
Player’s surname First name
Residential address
Email address Mobile phone
Place of birth MYSAFA ID no.
National ID no. Nationality
Club for whom the player last played
Note: A clearance certificate is required if the player last played for a club other than the club mentioned on this form.
I hereby confirm my desire to be registered as a player with Football Club
for the season
By signing this Registration Form, the player, or parent or guardian if the player is under the age of 18 years old, confirms that they have read and are fully
acquainted with the SAFA constitution, and the rules and regulations of the South African Football Association (SAFA), and certifies that all information provided
here is true and correct and acknowledges that any incorrect and/or false answer(s) will render their registration null and void at the sole option and discretion of
SAFA. The player, parent or guardian hereby indemnifies SAFA and Inqaku FC Pty Ltd, their officers, employees, and agents against all liability and any claim, right
or cause of action however arising, whether or not presently ascertained or arising from damage to property, personal injury, loss of life or loss of any description
whatsoever and howsoever caused whether direct, consequential or foreseeable and whether caused by accident or any negligent or wilful act or omission, breach
of contract or otherwise in connection with this Registration. By signing this Registration Form the player, parent or guardian hereby consents to have their
personal information electronically stored, verified with the Department of Home Affairs and FIFA, and shared with Inqaku FC (Pty) Ltd's insurance partners, and
accepts to receive marketing & promotional offers from such insurance partners, all with the purpose of administrating football, improving efficiency and
transparency of the sport, and providing services to the player or other related or unrelated parties. SAFA and Inqaku FC Pty Ltd will undertake to keep all personal
information confidential and not to disclose it to anyone, save to the extent outlined above and to ensure that all confidential information is protected with
appropriate security measures.
Signed by player/parent In the presence of
holding the position of (club position) on (date)
I have registered as a player with Football Club
and confirm that the information given above is true and correct.
Additional club signatory date
_FOR OFFICE USE ONLY_
I confirm that I have this day registered
as a member of FC, for the season,
as approved by the SOUTH AFRICAN FOOTBALL ASSOCIATION.
Signature date
South African Football Association - 2020/2021
