APPLICATION FORM FOR REGISTRATION OF PHYSIO

(In Block Letters)

Present Address

ID Proof Details

Bank Details

Eligibility Qualification

DECLARATION

I, S/o residing at , , , declare that the particulars furnished above are true to the best of my knowledge.

I hereby unconditionally agree to abide by the rules / regulations / polices / guidelines of CAP/BCCI whether I’m given opportunity to serve or not. If at any given time CAP management is not happy with my work assigned, my services can be terminated with or without notice on the spot if such situation arises. For whatsoever the reasons, I will not go to press/media and give interviews/my views/opinion without written consent from CAPs President / Secretary/CEO whether my application is accepted or rejected without giving any reasons

Date:

Place:
* Signature of the Physio

For office use :

1.Examined by TC .......................................
2.Remarks .......................................

Chairman
Tournament Committee