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Slum Soccer
Coach Registration form - Play for Progress
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* Indicates required question
1. Full Name
*
Your answer
2. Gender
*
Male
Female
Prefer not to say
3. Date of birth
*
MM
/
DD
/
YYYY
4. Contact Number
*
Your answer
5.Alternate contact number:
Your answer
6. Email Id
*
Your answer
7. City
*
Your answer
8. Full Address
*
Your answer
9. Graduation details (college name, stream, year of graduation)
*
Your answer
10. Are you pursuing post graduation?
*
Yes
No
11. Do you have a football coaching D-license?
*
Yes
No
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