Team Registration Form Cobra Kota Assasin.docx

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TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD AMIR FAUZAN BIN MOHAMAD NAJIB

IC/PASSPORT NO.

090327-01-1441

DATE OF BIRTH

27/03/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD IQMAL NOORIZWAN BIN ZAINAL ABIDIN

IC/PASSPORT NO.

090409-01-1189

DATE OF BIRTH

09/04/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PLAYER NAME

MUHAMMAD HAZIZI BIN HUSSIN

IC/PASSPORT NO.

090409-01-1293

DATE OF BIRTH

09/04//2009

PHOTO

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PLAYER NAME

MUHAMMAD AZRI BIN DAHLAN

IC/PASSPORT NO.

090308-01-0881

DATE OF BIRTH

08/03/2009

PHOTO

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PLAYER NAME

AMMAR MUZAFFAR BIN JUMAT

IC/PASSPORT NO.

091228-01-0835

DATE OF BIRTH

28/12/2009

PHOTO

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PLAYER NAME

MUHAMMAD HAZIQ BIN AZHAR

IC/PASSPORT NO.

091118-01-0033

DATE OF BIRTH

18/11/2009

PHOTO

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD HARIS DANISH BIN BAHARUDDIN

IC/PASSPORT NO.

090808-01-0327

DATE OF BIRTH

08/08/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD TAUFIQ BILAL SHAH BIN IMRAN

IC/PASSPORT NO.

090425-01-0899

DATE OF BIRTH

25/04/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD FAQIF BIN MOHD FARA

IC/PASSPORT NO.

090701-01-0511

DATE OF BIRTH

01/07/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MOHAMAD KHAIRIE MIEZAL BIN MOHD AZMI

IC/PASSPORT NO.

090517-01-1223

DATE OF BIRTH

17/05/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD ALIF ZAHIN BIN ZAINI

IC/PASSPORT NO.

090810-01-1337

DATE OF BIRTH

10/08/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD DANISH IKRAM BIN SANIF

IC/PASSPORT NO.

090411-01-0169

DATE OF BIRTH

11/04/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD SUHAILI NURMAN BIN ABDUL AZIZ

IC/PASSPORT NO.

090830-01-1297

DATE OF BIRTH

30/08/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

MUHAMMAD IMAN HAFIZ BIN ABDULLAH

IC/PASSPORT NO.

090210-01-0197

DATE OF BIRTH

10/02/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

TEAM REGISTRATION FORM The COBRA 10s Mini Tournament 17th November 2018 _________________________________________________________________ TEAM NAME

KOTA ASSASINS

SCHOOL/CLUB NAME

KOTA ASSASINS

STATE/COUNTRY

JOHOR/MALAYSIA

CATEGORY

UNDER 9

PHOTO

PLAYER NAME

NAJMI NAQIYUDDIN BIN ABDULLAH

IC/PASSPORT NO.

090518-01-1305

DATE OF BIRTH

18/05/2009

JERSEY NUMBER NATIONALITY

MALAYSIA

REGISTERED BY:

VERIFIED BY:

NAME : AHMAD AUFA AKHYAR BIN AMINARRASHID

NAME :

POSITION : TEAM MANAGER

POSITION :

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