BIHAR CRICKET ASSOCIATION
(COMMON REGISTRATION FORM FOR ALL DOMESTIC TOURNAMENTS)
POINTS TO NOTE
This is a common registration form for players participation in all Domestic Tournaments organized by
BCA Session 2022-23.
The information provided in this form along with the undertaking by the player will be valid for players’
participation in all BCA Domestic Tournaments Session 2022-23
Form is to be filled in CAPITAL letters. Use only black ink ball point pen.
Upon completion of registration process of the player, a unique Identification Number will be generated
for the player and intimated by the BCA to the respective District Association. This number should be used
by the Player/ District Association for all future correspondence with the BCA.
Please note that furnishing of incorrect information / suppression of information would lead to rejection of
the application for registration with the BCA.
The players are required to produce Original Birth Certificate for verification, at the time of submission of
the registration form. The concerned District Association is required to attach attested photo copy of the
original birth certificate along with the registration form.
In respect of Under 16 age group tournaments, the player is bound to follow the terms and conditions as
specified in the Age Verification Programme (”AVP”) of the BCCI (as amended from time to time)
BIHAR CRICKET ASSOCIATION
PLAYER REGISTRATION FORMFOR DOMESTIC TOURNAMENTS
SEASON 2022-23
(Write only in CAPITAL Letters)
Mandatory Fields
Paste here self attested
Gender Age/ Category passport size (3.5
cmX4.5cm) Photograph
Select Male Female with white back ground
Under 16 Under 19 Under 25 Senior
Name of the District Association
Write the full Name of the Association you are registering for
Full Name of the Player
First Name
Middle Name
Last Name
Date of Birth
Place of Birth
Village
City or District
State
Birth Certificate Passport
Enter your birth certificate number
Date of Issue Date of expiry
Place of Issue/City SSC Certificate
PAN Card Date of Issue
Educational Qualification 10th 12th
Graduate Post Graduate Other
Enclose attested photo copy
Permanent Address (This will be your communication address)
Address Line 1
Address Line 2
City
State
Country Pin Code
Residential Address
Address Line 1
Address Line 2
City
State
Country Pin Code
Email Address
Mobile Number
Landline Number
Mother’s Name
First Name
Middle Name
Last Name
Father’s Name
First Name
Middle Name
Last Name
Mobile No
Emergency Contract Person’s details
Name the person who we can contacting case of emergency
ISD (ex91) STD (ex452) Landline/Mobile Number
Contact Number
Email Address
Proficiency
Select any one option
Batter Bowler All-rounder
Batting Batting Order Wicket-keeper
Select any one option Select any one option Select ‘ Yes’ only if you are a regular W.K
Right Hand Opener Lower-order Yes
Left Hand Middle-order No
Bowler
Select any one option
Right Hand Left Hand
If you are a right hand bowler, select any one option from the list If you are a left hand bowler, select any one option from the list
Fast Fast Medium Fast Fast Medium
Off Spin Leg Spin Orthodox Chinaman
Self Declaration
1. I undertake that the information furnished by me above is true and correct. I have not concealed anything from the
DCA/BCA/BCCI in respect of the information provided above.
2. I am willing to play or participate only in cricket matches or tournaments authorized by the DCA/BCA/BCCI or its affiliated
members, either in India or abroad.
3. I shall not play or participate in any cricket match or tournament organised as charity / festival / benefit match or any tournament
not registered with or not approved by the DCA/BCA/BCCI or any of its affiliated members unless specifically permitted by
BCCI in writing, whether in India or abroad
4. If I am found to be participating in any such match as referred above, without prior written approval of DCA/BCA/BCCI, my
registration is liable to be terminated forth with.
5. I shall not act in any manner that brings disrepute to the game of cricket and/or DCA/BCA/BCCI.
6. I shall make myself a familiar with and a bide by the rules and regulations framed by DCA/BCA/ BCCI and rules governing the
conduct of tournaments and registration.
7. I shall make myself familiar with and abide by the DCA/BCA/BCCI code corruption code and any to her rules and regulations that
may be framed by the BCCI, as amended from time to time.
8. I am aware that if I violate the rules and regulations of BCCI and / or the State Association I will be liable for penal action as, shall
be decided by BCCI and / or the State Association from time to time.
Date :-
Place :- (Signature of the Player)
(Please sing inside the box given below)
FOR USE OF ASSOCIATION
CERTIFIED that the applicant is registered with our Association Recommended that he/she be registered with
Bihar Cricket Association.
Name of the Name of District Cricket Association:
Place: Signature of the Authorized Signatory of D.C.A
Date: Stamp/ Seal of the Association
Note :-
Before signing the registration form, Authorized Signatory of the District
Association should verify the details filled in by the players
