Wests Tigers Player Information Form
Please complete this form and let Emily Melvin (emelvin@weststigers.com.au) know when you have done it
Which competition will you be playing in? *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Post Code *
Email *
Phone number *
Emergency Contact Name and Relationship *
Emergency Contact Phone number *
Bank Details (Account Name) *
Bank Details (BSB) *
Bank Details (Account Number) *
Tax File Number *
Tax File Information
Superannuation *
Required
Citizenship - please specify if not Australian *
Passport Details (name as on passport, Passport Number, Nationality of passport, Passport Expiry date) *
Frequent Flyer Number *
Medicare Card Number and Expiry *
Name of Spouse / Partner and any children *
Mothers Name, Address and phone number (include street address and postcode) *
Fathers Name, Address and phone number (include street address and postcode) *
Your Player Agent's name *
By selecting the below you confirm that all information supplied is true and correct *
Required
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