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International School Cricket Premier League
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Founder Manager
Organising Secretary
Head (QAID)
Patron, ICSC
President, ICSC
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Name of the College/School : *
Mailing Addres : *
Name of the Principal
City
Pin/Zip Code
State
Country
Phone No. (with ISD/STD code) : *
Fax No : (with ISD/STD code) *
Email : *
S.No.
N a m e of P l a y e r s
Class
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12.
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14.
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Team Manager
17.
Team Coach
18.
Physiotherapist
19.
Team Leader
REGISTRATION FEE
It can be paid through Bank Draft drawn in favour of City Montessori School, Lucknow payable at Lucknow, India (@ Rs. 60,000/- (US $1500) per team)
Amount
Date
Bank Draft No.:
NOTE:
This form must reach us with complete details by
30th September, 2012.