SALEM DCA - UMPIRES SALEM DISTRICT CRICKET ASSOCIATION - Umpires Enrolment Form Question Title * 1. NAME Question Title * 2. Name of the CLUB ACHIEVERS CC BLUESTAR CC CHEMPLAST RC CITYBOYS CC DAVARAM SC DIRTY DOZEN CC GOVT. ENG. COLLEGE INFRA CC JSW RC KANNAN MEMORIAL CC KASTURI PILLAI SC KUMAR MEMORIAL CC LIBERTY CC LUCKYSTAR CC MARATHA CC METRO CC MGM CC MONTFORTS SCHOOL MUTHUSAMY MCC NEW UNIVERSAL CC PARKS XI POWER CC PRIME CC PUNITH CC R.T.PARTHASARATHY MCC RAJ FRIENDS CC RANGERS CC RAVINDRAN MEMORIAL CC ROCK CC ROTHMANS CC ROYAL SLAMMERS CC RUFF KRUDOZ XI S.K.MURUGAN CC S.R.PRABHAKAR MEMORIAL CC SALEM CC SALEM KINGS CC SALVO CC SIVANTHI ADITYAN CC STEELS RC STUDENTS "SENIORS" CC SUNIL CC THE UNITED GYMKHANA THRIVE CHEVROLET CC TIGERS "B" TIGERS XI VAMPIRE CC WRITER RAMASAMY MCC NO CLUB ASSOCIATED Question Title * 3. Doing Umpiring Since... 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Question Title * 4. Date of Birth Date / Time Date Question Title * 5. CONTACT Numbers PRIMARY WHATSAPP SECOND Question Title * 6. EMAIL Address Question Title * 7. AADHAR Number Question Title * 8. Are You a TNCA Qualified Umpire? Yes No Question Title * 9. Have You Appeared for TNCA Umpires Exam Before? Yes No Question Title * 10. Address for Communication Door No. Street City State PIN Code Question Title * 11. Your CLUB SECRETARY NAME (If Not Representing Club - Please Type "NA") Question Title * 12. Your CLUB SECRETARY CONTACT NUMBER (If Not Representing Club - Please Type "NA") Question Title * 13. Is Your Club Secretary aware of your application to SDCA Umpires Enrolment? Yes No Question Title * 14. OCCUPATION Question Title * 15. Your Shirt Size S M L XL XXL XXXL Question Title * 16. Your Pant Size 28 30 32 34 36 38 40 42 Question Title * 17. Your AADHAR ID PDF, JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Your AADHAR ID Question Title * 18. Your PHOTO GIF, JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Your PHOTO Question Title * 19. Your Availability for doing Umpiring? ALL Days Adjustable Only SATURDAYs & SUNDAYs Only SUNDAYs Will Inform when I am available Question Title * 20. Are You Available for the SDCA Umpires Seminar, to be held on 28.07.2019 at Salem Steel Plant Ground (8.00 AM)? Yes No Page1 / 1 100% of survey complete. Done
