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Select Age Group*

{{group.group}}+ Select age group. {{$ctrl.serverErrors.age_groups[0]}}

Select Gender* Gender is required. {{$ctrl.serverErrors.gender[0]}}

Select Fitness Level* Fitness level is required. {{$ctrl.serverErrors.fitness_level[0]}}

Personal Details

First & Middle Name* First name is required. Only characters Allowed. {{$ctrl.serverErrors.personal_details.first_name[0]}}

Last Name* Last name is required. Only characters Allowed. {{$ctrl.serverErrors.personal_details.last_name[0]}}

Date Of Birth* Not eligible DOB is required. {{$ctrl.serverErrors.personal_details.date_of_birth[0]}}

Provide two valid photo-id proofs

Photo Id 1*

ID Type:

Scanned Copy:

File is required {{$ctrl.serverErrors.personal_details.photo_id1_file[0]}}

(Provide PDF/JPEG of ID) (Max File Size : 50MB)

Photo id proof is required. {{$ctrl.serverErrors.personal_details.photo_id1[0]}}

Photo Id 2*

ID Type:

Scanned Copy:

File is required {{$ctrl.serverErrors.personal_details.photo_id2_file[0]}}

(Provide PDF/JPEG of ID) (Max File Size : 50MB)

Photo id proof is required. {{$ctrl.serverErrors.personal_details.photo_id2[0]}}

Photo Profiles

Passport Photo*

Passport Photo:

File is required {{$ctrl.serverErrors.player_profile_photos.passport_photo[0]}}

(Provide PDF/JPEG of ID)
(Max File Size : 50MB)

Download sample

Full Front-Profile Photo*

Front-Profile:

File is required {{$ctrl.serverErrors.player_profile_photos.front_profile[0]}}

(Provide PDF/JPEG of ID)
(Max File Size : 50MB)

Download sample

Full Side-Profile Photo*

Side-Profile:

File is required {{$ctrl.serverErrors.player_profile_photos.side_profile[0]}}

(Provide PDF/JPEG of ID)
(Max File Size : 50MB)

Download sample

Contact Details

Flat, House No.,Building, Company, Apartment * This filed is required. {{$ctrl.serverErrors.contact_details.house_no[0]}}

Area, Street, Sector, Village * This filed is required. {{$ctrl.serverErrors.contact_details.area[0]}}

Landmark * Landmark is required. {{$ctrl.serverErrors.contact_details.landmark[0]}}

Select State* State is required. {{$ctrl.serverErrors.contact_details.state[0]}}

Town/City* Town/City is required. {{$ctrl.serverErrors.contact_details.city[0]}}

Post Code* Post code is required. {{$ctrl.serverErrors.contact_details.post_code[0]}}

Email Address* Email is required. Please Enter Valid Email. {{$ctrl.serverErrors.contact_details.email[0]}}

Alternate Email Address Please Enter Valid Email. {{$ctrl.serverErrors.contact_details.alternate_email[0]}}

Mobile Number* Mobile number is required. Mobile no must be 10 Digit Number. Mobile no must be 10 Digit Number. Only numbers allowed. {{$ctrl.serverErrors.contact_details.mobile_number[0]}}

Alternate Mobile Number Mobile no must be 10 Digit Number. Mobile no must be 10 Digit Number. Only numbers allowed. {{$ctrl.serverErrors.contact_details.alternate_mobile_number[0]}}

Home Phone Number Only numbers allowed. {{$ctrl.serverErrors.contact_details.phone_number[0]}}

Player's Proficiency*

Batsman Bowler All Rounder Wicket Keeper select players proficiency.

Payment Details

Kindly deposite ₹ 10,000/- (Rupees Ten Thousand Only) membership fees. By any of following payment mode.

Payment Mode* Payment mode is required. {{$ctrl.serverErrors.payment_details.payment_mode[0]}}

Kindly transfer amount to Kindly deposite cash to Kindly Issue cheque to

Name of Account Holder

: Dynamic Veteran Cricket Society

Bank Name

: Central Bank Of India

Account No

: 5319907455

IFSC Code

: CBIN0281097

Branch

: Sanyogitaganj Branch Indore

Address

: 153, Ravindranath Tagore Marg Sanyogitaganj Indore,
Madhya Pradesh

Provide Payment Receipt/Screenshot*

Payment receipt / screenshot required. {{$ctrl.serverErrors.payment_details.cash_deposite_file[0]}}

Issuer Bank* This field is required. {{$ctrl.serverErrors.payment_details.issuer_bank[0]}}

Cheque Date* This field is required. {{$ctrl.serverErrors.payment_details.cheque_date[0]}}

Cheque Number* This field is required. {{$ctrl.serverErrors.payment_details.cheque_number[0]}}

*I shell abide by the constitution, rules and regulation of the society as in force from time to time. You need to agree with rules and regulations

Please fill all fields correctly.