Universal registration form – Maden Football Academy

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uNIVERSAL Scholarship (#7)

Basic Candidate Details

First Name

Last Name

Father's Name

Mother's Name

Parent's occupation

Date of Birth

Communition Details

Address

Address Line 1

Address Line 2

City

State

Pin Code

Country

Phone/Mobile

Playing Career

Playing Postition

Preferred foot

Last Club/Academy

Achievements if Any

Education Background

Name of Schoo/Collage/University

Reading in class

Physiological Information

Height

Weight

Blood Group

Any Known Medical Issue

Any recorded previous injury

consent

Upload Birth Certificate

Choose File

Upload Photograph

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Purpose of Joinig the Academy

Enrollment type

Do you want to avail our education facility?

Yes

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