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Transfer Form Part B

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MRHA - APPLICATION FOR THE TRANSFER OF A LEAGUE PLAYER
(1st Team, 2nd Team, 3rd Team, and Central Leagues)

Part B (to be completed by the player and his former club)

By the player

I, ___________________________________ (full name in BLOCK capitals)

formerly of ____________________________ Hockey Club, wish to transfer

and play League hockey for_____________________________Hockey Club.

My Contact details (phone/email): __________________________________


By the player's former club

I certify that the player named above
 
 >>> is free of debt of any kind to our club Yes / No   *
 >>> is free from any suspension from hockey Yes / No   *
 >>> has submitted a letter of resignation to our club Yes / No   *
 >>> last played for our club in a league fixture

 in the ___ XI in the ___________ League, on

 
____ / ____ / ____

(* delete/complete as appropriate, giving details of any debt or suspension in the space below)

Signature
Secretary/Manager.. _________________________
   Hockey Club
   ________________________________
..please specify role,
sign and PRINT :
____________________________________________
   Date:
            ______ / ______ / ______

        * * * * * * ALL SECTIONS MUST BE COMPLETED BEFORE SUBMISSION * * * * * *


When completed this section should be sent to the League Transfers Secretary:

C.D.Ashton 153 Forest Road, Loughborough, Leics LE11 3HS