Personal data
Surname
*
Prefix
Firstname
*
Initials
*
Date of birth
*
Female
*
Male
*
Country
Nederland
België
Duitsland
Andorra
Verenigde Arabische Emiraten
Afghanistan
Antigua en Barbuda
Anguilla
Albanie
Armenie
Nederlandse Antillen
Angola
Antarctica
Argentine
Amerikaans-Samoa
Oostenrijk
Australië
Aruba
Alandeilanden
Azerbeidzjan
Bosnië en Herzegovin
Barbados
Bangladesh
Burkina Faso
Bulgarije
Bahrein
Burundi
Benin
Saint-Barthélemy
Bermuda
Brunei Darussalam
Bolivia
Bonaire, Sint-Eustatius en Saba
Brazilie
Bahamas
Bhutan
Bouveteiland
Botswana
Wit-Rusland
Belize
Canada
Cocos- (Keeling-) eilanden
Congo
Centraal-Afrika
Congo
Zwitserland
Ivoorkust
Cookeilanden
Chili
Kameroen
China
Colombia
Costa Rica
Canton en Enderbury Eilanden
Cuba
Kaapverdie
Curacao
Christmaseiland
Cyprus
Tsjechië
Djibouti
Denemarken
Dominica
Dominicaanse Republiek
Dahomey
Algerije
Ecuador
Egypte
Westelijke Sahara
Eritrea
Spanje
Ethiopie
Finland
Fiji
Falklandeilanden (Malvinas)
Micronesie
Faeroereilanden
Frankijk
Metropolitaans Frankrijk
Gabon
Groot Brittannië
Grenada
Georgie
Frans-Guyana
Guernsey
Ghana
Gibraltar
Groenland
Gambia
Guinea
Guadeloupe
Equatoriaal-Guinea
Griekenland
Zuid-Georgie en de Zuid-Sandwicheilanden
Guatemala
Guam
Guinee-Bissau
Guyana
Hongkong
Heard- en McDonaldeilanden
Honduras
Kroatië
Haiti
Hongarije
Opper-Volta
Indonesie
Ierland
Israel
Eiland Man
India
Brits Indische oceaan
Irak
Iran
IJsland
Italie
Jersey
Jamaica
Jordanie
Japan
Johnston-atol
Kenia
Kirgistan
Cambodja
Kiribati
Comoren
Sankt Kitts, Nevis en Anguilla
Noord-Korea
Zuid Korea
Koeweit
Caymaneilanden
Kazachstan
Laos
Libanon
Sint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Litouwen
Luxemburg
Letland
Libie
Marokko
Monaco
Moldavie
Montenegro
Sint Maarten (Frans deel)
Madagascar
Marshalleilanden
Midway-eilanden
Macedonië
Mali
Myanmar
Mongolie
Macao
Noordelijke Marianen
Martinique
Mauritanie
Montserrat
Malta
Mauritius
Maldiven
Malawi
Mexico
Maleisie
Mozambique
Namibie
Nieuw-Caledonie
Niger
Norfolkeiland
Nigeria
Nieuwe Hebriden
Nicaragua
Noorwegen
Nepal
Koningin Maudland
Nauru
Neutrale Zone
Niue
Nieuw-Zeeland
Oman
Panama
Trustgebied van de Pacifische Eilanden
Peru
Frans-Polynesie
Papoea-Nieuw-Guinea
Filipijnen
Pakistan
Polen
Saint-Pierre en Miquelon
Pitcairn
Puerto Rico
Bezette Palestijnse gebieden
Portugal
Diverse pacifische eilanden van de V.S.
Palau
Paraguay
Panamakanaalzone
Qatar
Reunion
Zuid-Rhodesie
Roemenië
Servië
Rusland
Rwanda
Saoedi-Arabie
Salomonseilanden
Seychellen
Soedan
Zweden
Finland
Singapore
Sint Helena, Ascension en Tristan da Cunha
Slovenië
Svalbard en Jan Mayen
Slowakije
Sierra Leone
San Marino
Senegal
Somalie
Singapore
Suriname
Zuid-Soedan
Sao Tomé en Principe
Sovjet-Unie
El Salvador
Sint Maarten (Nederlands deel)
Syrie
Swaziland
Turks- en Caicoseilanden
Tsjaad
Franse zuidelijke gebieden
Togo
Thailand
Tadzjikistan
Tokelau
Oost-Timor
Turkmenistan
Tunesië
Tonga
Portugees Timor
Turkije
Trinidad en Tobago
Tuvalu
Taiwan, Chinese provincie
Tanzanie
Oekraine
Oeganda
Kleine afgelegen eilanden van de Verenigde Staten
Verenigde Staten
Uruguay
Oezbekistan
Heilige stoel
Saint Vincent en de Grenadines
Noord-Vietnam
Venezuela
Britse Maagdeneilanden
Amerikaanse Maagdeneilanden
Vietnam
Vanuatu
Wallis en Futuna
Wake-eiland
Samoa
Zuid-Jemen
Jemen
Mayotte
Joegoslavie
Zuid Afrika
Zambia
Zaire
Zimbabwe
*
Zip code
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House number
*
Street
City
Telephone
Mobile
[emailhelp]
Email
Invoice email
Passport photo
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IBAN nr.
Name account holder
Questions
Membership choice
I sign up for the following type of membership:
Playing member
*
Student member
Training member
Supporting Member
Other members
Direct Debit Mandate
*
I Hereby confirm that I mandate SV Kampong Cricket to submit direct debit notices to my bank regarding the transfer of the annual membership fees from the afore mentioned IBAN nr. and any additional contributions agreed to.
If the player being signed up in this form is a minor (under the age of 18), the players parent/legal guardian declares to agree to the mandate as outlined above
Signature Player / Parent-Legal Guardian
*
Please enter your full name, this will be treated as a valid signature for banking purposes
Volunteers
SV Kampong Cricket relies heavily on the help of volunteers. Together we endeavor to create a pleasant environment in which we can enjoy playing the sport that we love.
We try to match the volunteers’ capacities be they players or parents of players as much as possible. Even if you have little time, we like to include everyone at SV Kampong Cricket.
We will be in contact with you shortly to determine if and what you could contribute to the club.
If you already have a general idea in what field you would like to volunteer please indicate so below:
Board
Youth team support
Sponsoring
Organising projects (festivities/events)
Maintenance Facilities
Grass wicket support
Umpiring
Scoring
Other..,
Prior Activities
Have you played with a different club in the Netherlands during the past two years?
Yes
No
Name of previous club
Code of Conduct Kampong Cricket
*
By checking this box you declare you have read and are in agreement with the
code of conduct
and will adhere to
Personal data
Your personal data will not be shared with any third parties for commercial use. Any deviation of this will only be done after requesting your consent.
We will however, if required, be sharing relevant data with third parties if relevant and required in relation to being a member of SV Kampong Cricket.
Agreeing with the use of your personal data is manadatory requirement to become a member of SV Kampong Cricket.
*
I agree with the use of my personal data as described above.
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