Players Name

Document Sample
Players Name Powered By Docstoc
					            NPP CRICKET WHEREABOUTS UPDATE FORM - PLAYER
This player update form is to be used by a player (or his/her authorized delegate) or a representative of the player’s National
Cricket Federation (if applicable) to: (a) update cricket whereabouts information during such time as the player is with any
relevant domestic team(s), irrespective of the jurisdiction in which that team participates and/or the format of cricket which it
plays; and (b) update periods of time when the player has no relevant cricket activity or he is with an international team.
Please complete all sections in capital letters or type. Incomplete and/or illegible forms will be returned.

1)       PLAYER INFORMATION
Family Name(s):                                          First Name(s):
National Cricket Federation:
Date of Birth (dd/mm/yy):

Mobile: +        ___________________
Email:        ___________________
Please ensure that your mobile number is the one that you travel with and usually have on ‘roaming’. Don’t
forget to include the full Country code of your number.

2a)      AUTHORISED DELEGATE (IF APPLICABLE)
Family Name(s):                                          First Name(s):
Relationship to Player:

Mobile: +        ___________________                     Business: +        ___________________
Email:        ___________________
Include the full Country code when providing your phone number.

2b)      NATIONAL CRICKET FEDERATION (IF APPLICABLE)
Name of National Cricket Federation:
Name of National Cricket Federation NPP Contact:

Mobile: +        ___________________                     Business: +        ___________________
Email:        ___________________
Please ensure that your mobile number is the one that you travel with and usually have on ‘roaming’. Include
the full Country code of your number.



Please forward your completed and signed NPP Cricket Whereabouts Update Form - Player to the ICC
on the following contacts as soon as possible and, in all circumstances, prior to the date and time of the
whereabouts information that you are updating or changing through this form.
Fax: +971 4 340 9336(confidential) or E-mail: anti-doping@icc-cricket.com
Should you have any queries in relation to the completion of this form, please do not hesitate to contact
the ICC on: Phone: +971 50 5545891; E-mail: anti-doping@icc-cricket.com; SMS: +46737494565


                                                           Page 1 of 3
                                                                                         NPP Cricket Whereabouts Update Form - Player
                                                                                                                Updated January 2012
Please note that, upon receipt of an Update Form, the ICC will disregard all of the previous cricket
whereabouts information that has been submitted for any specific day(s) which that player is, by his
subsequent filing of an Update Form, seeking to amend. Where the Update Form does not seek to amend
the information already held for a specific day, then the information for that day will remain valid and on
file. It is therefore essential that players complete all of the relevant whereabouts information for the
entire day, even where the modification/amendment only relates to one particular activity on that day.

MONTH UPDATING:           ________


 Date            Whereabouts Category                              No Cricket
                                                    Time(s)                           International Team
                                                                    Activity




                                                 Page 2 of 3
                                                                          NPP Cricket Whereabouts Update Form - Player
                                                                                               Updated – January 2012
 Date                Whereabouts Category                                         No Cricket
                                                               Time(s)                                International Team
                                                                                   Activity




CONFIRMATION OF INFORMATION

I confirm that:
    (a) I have completed this “NPP Cricket Whereabouts Update Form – Player” in accordance with ICC's
        document, “How to Complete the NPP Cricket Whereabouts Update Form - Player” (a copy of
        which is available on the anti-doping section of the ICC’s website at: www.icc-cricket.com).
    (b) The information in this form: (i) is, to the best of my knowledge, accurate at the time of
        submission and in the event that there is a change in circumstances which means that any part of it
        is no longer accurate or complete, I will notify the ICC (by completion of a subsequent “NPP
        Cricket Whereabouts Update Form – Player”), so that the information held by the ICC is current at
        all times; and (ii) should be considered to replace any other relevant whereabouts information
        previously submitted to the ICC for the specific day(s) for which it is provided.
    (c) I readily consent and agree that the ICC may collect, store, process or disclose to necessary third
        parties the information in this form (or any part of it) provided that such disclosure is for anti-
        doping purposes only.

Print Name: ...................................……….……….……….

Signature: .................................. .……………. Date: ...........................................………
                                                            Page 3 of 3
                                                                                          NPP Cricket Whereabouts Update Form - Player
                                                                                                               Updated – January 2012

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:10/1/2012
language:Unknown
pages:3