FORM_AF_202_ACADEMY OWNERSHIP DECLARATION & APPLICATION FOR REGISTRATION – FUFA Services

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FORM_AF_202_ACADEMY OWNERSHIP DECLARATION & APPLICATION FOR REGISTRATION

General Data

Official Academy Name *

Academy Email Address *

FUFA Region *KitaraKampalaBugandaNorth EastEasternWesternWest NileNorthernTick the FUFA region where your academy is situated

Street Address

DFA

SECTION 01: PERCENTAGE SHARES OF OWNERSHIP

Percentage Shares of OwnershipName of Natural Person / Legal Person

Name

%age

Signature

No file chosen

SECTION 02: DECLARATION

Signature of Academy Owner/Lead shareholder

No file chosen

I on behalf of the academy hereby acknowledge 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 owner(s) declare to abide by and enforce all FUFA administrative regulations and decisions in conformity with the FUFA, CAF and FIFA statutes.

SECTION 03: ATTACHMENTS

AttachmentsThe following Mandatory documents are enclosed upon submission of this dully filled form for the following type of Academy Ownership; (Please tick appropriately and ensure corresponding attachment is included)

Particulars *

File Attachment *

No file chosen

Consent *

Yes, I agree with the privacy policy and terms and conditions.

Download: Form AF 901

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