FORM AF201 Academy Licensing Application Form

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FORM AF201 Academy Licensing Application Form

General Information

Academy Name *

Physical Address *

Email Address *

Academy Identity

Type (Club Owned / Private) *

Age Categories *

Tel. No. *

Website

Tel. No. *

Tel. No.

Motto *

Home ground *

Home Colour *

Away Colour *

Academy Management

Academy Head *

Tel. No. *

Address *

Email *

Admin / Manager *

Tel. No. *

Address *

Email *

Attachments

Upload payment receipt *

No file chosen

Proof of payment of Application fees

Academy Declaration

Date of Application *

Date of Application

Signature of Academy Head of Management *

No file chosen

The Academy hereby acknowledges that the information provided is correct and the documents herewith filed are true and official representation of the Academy and by signature herewith, the academy and its personnel and partners (natural or legal persons) declare to abide by and enforce all FUFA administrative regulations and decisions in conformity with the FUFA, CAF and FIFA statutes.

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