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VOLLEYBALL ENGLAND NATIONAL VOLLEYBALL LEAGUE PLAYER REGISTRATION FORM Please note: this information will not be passed on to any third parties and will only be used for Volleyball England purposes. By submitting this form to Volleyball England, you confirm that you are responsible for the details held within and that they are correct at the time of submission TEAM NAME: DIVISION: FORENAME: SURNAME: DATE OF BIRTH: GENDER: ADDRESS: POSTCODE: HOME TEL: MOBILE TEL: E-MAIL: Please tick if you do not wish your name or address to be included in any mailing or marketing lists This enquiry is requested by Sport England for Please indicate your ethnic origin by ticking one box. monitoring purposes only. Mixed – White & Black White - British Asian – Indian Black – Caribbean Caribbean White – Irish Asian – Pakistani Mixed – White & Asian Black – African White – Other* Asian - Bangladeshi Mixed – Other* Black – Other* Chinese Asian – Other* *Other Ethnic Group The following section is to be completed by ALL players HAVE YOU EVER REGISTERED WITH A YES (Please complete the NO (no further information required) FOREIGN FEDERATION OR TEAM? information below) “Federation of Origin” is the National Federation where a player is first registered. This does not necessarily have to be the same as the National Federation that matches a players Nationality. For example, a player could be Polish by Nationality, yet first registered to play Volleyball in England, so their Federation of Origin would be Volleyball England. “Club of Origin” is the Club where a player was last registered within their foreign federation FEDERATION OF ORIGIN: CLUB OF ORIGIN: This information needs to be completed by all players whose Federation of Origin is not Volleyball England. Please note: this information will not be passed on to any third parties with the exception of using the information to facilitate International Transfers if required. It is now a requirement for all players who require an International Transfer who have not already been registered on the Volleyball Information System (VIS) to provide us with a copy of their passport and a high resolution photo. If the details held about your existing passport have expired, you will need to provide us with a copy of your new passport. CURRENT CITIZENSHIP: NATIONALITY: PASSPORT No: COUNTRY OF ISSUE: DUAL PASSPORT (list countries): HAVE YOU EVER REPRESENTED A NATIONAL TEAM? (If yes, please specify which) Data protection: By providing a certified copy of your passport or passport details, you authorise Volleyball England to send those details only to the relevant organisations related to International Transfers, namely the FIVB, the CEV and/or your Federation of Origin, in order to create your profile on the Volleyball Information System (VIS). If your Federation of Origin is outside of the European Economic Area, by submitting this information you give consent for the details relevant to the completion of the International Transfer (including a copy of your passport) to be transferred to a country outside of the European Economic Area. Volleyball England commits that all digital and hard copies of your passport will be securely erased/destroyed once the transfer has been confirmed. This form needs to be returned to the Volleyball England Head Office Volleyball England, SportPark, Loughborough University, 3 Oakwood Drive, Loughborough, Leicestershire, LE11 3QF or via email to [email protected] .

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