Category 3 (exempt) Reg Form 2010

SOUTHERN ELECTRIC PREMIER CRICKET LEAGUE CATEGORY 3 (EXEMPT) PLAYER REGISTRATION for 2010 OVERSEAS PLAYER : ( Any player NOT Qualified to play for England) (PLEASE COMPLETE IN BLOCK CAPITALS)

Name of Club:Player’s Details:

C. C.

Surname:

in DIVISION :

First Name

UK Address: Post Code:

Tel. No:

Country of Birth:

Date of Birth:

Passport number:

Issuing Government:

Date last entered the UK:

Departure date:

Work permit number (if applicable) Upon what basis is Exemption from Category 3 registration claimed?( e.g. number of years resident in qualifying country). See Admin Rule 4.4.1(i) and (ii) (Note that ECB have amended the minimum period of residence in the UK to qualify for registration TO 28 CONSECUTIVE MONTHS – previously 2 years).

Declaration: I confirm that have read and agree to abide by the ECB Regulations on player eligibility and qualification criteria and the ECB Code of Conduct. I confirm that I am an “Unqualified Cricketer” NOT able to play for England under these Regulations. I accept that disciplinary actions resulting from breaches of the Code of Conduct will apply to all cricket played under the auspices of the ECB. I understand that the information supplied by me may be held electronically for registration purposes and may be made available to other cricketing bodies. I declare that I have not played in League or Cup competitions in the Southern Premier Cricket League , the Hampshire Cricket League, any ECB accredited Premier League nor a National Cup Competition this season. I am not registered with any other Club in the Southern Premier League or any other ECB accredited Premier League Have you played First Class Cricket in the last 12 months ? YES NO Tick appropriate box If yes, you must also register as a Category 2 Player. (Administration Rule 4.5.1)

Player’s signature:

Date:

I confirm that this player complies fully with each section of Administration Rules 4.1 and 4.4, and that NO PAYMENTS will be made to this player for representing the above named Club. Club Secretary’s signature:- …………………………………………………………………….. Date: …………………………………….. This player may NOT play for the above Club until confirmation of his player registration number is received from the League Registration Secretary. No Category 2 & 3 player can be registered after the 1st July of the current playing season. No Category 2 or 3 players can be transferred to another Southern Premier League Club during the current season. When completed this form should be sent immediately to the League Registration Secretary, Roy Harrison at :42 Coriander Way, Whiteley, FAREHAM, Hants. PO15 7HQ or it can be faxed to – 08719 896 181 or scanned & e-mailed to [email protected]. Players competing in Divisions 1 and 2 must also be registered on Play-Cricket.com

ECB / LEAGUE USE ONLY Date received:

League ID SOU /

Player ID number:-