MHC-KPM National U14 11 A-SIDE Men’s & Women ‘s Hockey Tournament 2017

Form (U14 - D)

MHC-KPM NATIONAL U14 11 A-SIDE MEN’S & WOMEN’S HOCKEY TOURNAMENT 2017
08TH – 17TH DECEMBER 2017
KUALA LUMPUR

BORANG PENDAFTARAN PEMAIN / TEAM ENTRY FORM

NAMA PASUKAN / TEAM NAME PENANG

No. Kad Pengenalan Tarikh Lahir /

No. Nama Penuh/ Full Name
(Baru) / Passport No. Date of Birth
1. TENGKU KARL AIRIEL BIN TENGKU
040227-07-0035 27/02/2004
NORKAMARULHAIZAN
2. MUHAMMAD ZIYAD BIN BAKRE 041104-07-0785 4/11/2004
3. MUHAMMAD DANISH DANIAL BIN ABDUL
030618-07-0199 18/06/2003
WAHAB
4. NADHIR SHAFIQ BIN ISMAIL 040209-07-0357 9/02/2004
5. MUHAMMAD IQMAL MUZAMIR BIN
030629-02-0525 29/06/2003
ZAMZAMI
6. CHE ABDUL HAZIM BIN CHE MOHD ASRI 030119-06-0295 19/01/2003
7. MUHAMMAD HAFIZ BIN MOHD SUKKERI 030312-09-0111 12/03/2003
8. JAYRISH SHAFFIN BIN JAMALSAFRI 031125-09-0057 25/11/2003
9. ANGAD SINGH KHALSA 031109-07-0793 9/11/2003
10. MUHAMMAD ALIFF AQHARNI BIN YUZAIDI 030802-07-0113 2/08/2003
11. MOHAMAD ADIB AKMAL BIN ROSDY 030214-02-0849 14/02/2003
12. MOHAMMAD ZAWAWI BIN ZAIDIN 040313-07-0437 13/03/2004
13. MUHAMMAD ALFIAN BIN OMAR 030218-10-0555 18/02/2003
14. MUHAMMAD FAIZ NAFIS BIN MOHD FAIRID 040227-07-0633 27/02/2004
15. MUHAMMAD SYAHRIL BIN SAZALI 030516-07-0841 16/05/2003
16. MUHAMAD IKRAM BIN MAZNAN 030402-07-0421 2/04/2003
17. MUHAMMAD ARMAN BIN YUSRI 040610-07-0185 10/06/2004
18. MUHAMMAD IZUL IZHAM BIN ABD MOIN 040222-02-0071 22/02/2004

Pengurus / Manager MOHD RIZDWAN BIN MOHD NOOR

Penolong Pengurus / Asst. Manager
Jurulatih / Head Coach
Penolong Jurulatih / Asst. Coach
Doktor/Fisio/Massuer

Warna Pertama / 1st Colors Warna Kedua / 2nd Colors

Baju / Shirt
Seluar / Short
Stoking / Sock
Baju Penjaga Gol/ GK Shirt

………………………………………
Tandatangan / Signature Cop :
Setiausaha Kehormat Ahli Gabungan / Honorary Secretary

* Sila kembalikan pada atau sebelum 01 Disember 2017 / Please return on or before 01st December 2017

Borang Pendaftaran Senarai Pemain / Team List 1