Player Transfer Form - Basketball Ireland
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1Player Transfer Form
Please print in BLOCK LETTERS using blue ink
PLAYER REQUEST
I, ______________________, Registration Number __________________________
Player Name
BIPIN
Wish to transfer from _______________________ to ______________________________
Club Name
Club Name
.
Gender
Date of Birth
Male
D d
/
m m
/
y
y
y y
Player Signature
Signature
If the applicant is under the age of 18, the signature of a parent/guardian is required.
Name
Signature
Date
TRANSFERRING CLUB AUTHORISATION
(to be completed by Secretary of the club the player is
transferring from)
On behalf of _______________________, I have no objection to the aforementioned transfer.
Club Name
Name
Signature
Date
ACQUIRING CLUB REQUEST
(to be completed by Club Secretary)
On behalf of ______________________________, I request that Area Board______________
Club Name
Name of Area Board
If no area Board. Basketball Ireland sanctions the aforementioned transfer.
Name
Signature
Date
AREA BOARD ACKNOWLEDGEMENT
(to be completed by Area Board Secretary that the player had
previously been registered with and forward to Basketball Ireland)
On behalf of the __________________________ Area Board, I acknowledge that the board has
Area Board Name
Sanctioned the aforementioned transfer.
Name
Signature
Date
OFFICE USE ONLY
Transfer completed by/on:
Name
Signature
Date
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