Online Registration / Club Registration Form
Name as the passport *
Date of Birth *   
Nationality *
Employer
Occupation
Postal Address
Work Phone
Home Phone
Mobile *
E-mail *

 
Attach Photo *
Maximum = 2 MB
 
Attach a copy of the passport
Maximum = 2 MB
* I certify that the data recorded above are true in the case of receipt of an error where my responsibility Legal direction, and I pledge in the case of approval on Antsabi for the club to cooperate with his administration To achieve its objectives and to preserve the private property and be a good example of creation and to accept All determined by the Board of Directors of the club