PLAYER TRANSFER FORM

Football Association of Ireland

Player Transfer Form Season

I, Date of Birth
(Name of player, use BLOCK LETTERS only)
Of: (present Club)
(use BLOCK LETTERS only)
Of: (present League)
(use BLOCK LETTERS only)
Wish to apply for approval of transfer from my present club to:

New Club
(use BLOCK LETTERS only)
Of: (league)
(use BLOCK LETTERS only)
Signed: Date

(Player's usual signature)

Signature of parent/guardian

(Note: to be signed by parent/guardian only if player under 18 at time of transfer)

I have no objection to the transfer of the above named player as he/she is not under

suspension by the Club or League at present, nor does he/she have any outstanding

commitments to either party, nor has she/he any outstanding financial commitments to

either party.

Signed Date

(Present Club Secretary)

I accept the transfer of the above named player

Signed Date

(New Club Secretary)

I confirm that the above information is correct and that the transfer fee of €25 (if
applicable) has been paid

Signed Date

(Present League Secretary/Registrar)

League Stamp & Date

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