Application Form
Application for BA Support Structure (BASS) & National Squad
Surname as per passport *
Your answer
First name as per passport *
Your answer
Preferred name
Your answer
Date of birth *
MM
/
DD
/
YYYY
Email address *
Your answer
Mobile number *
Your answer
Street address *
Your answer
Suburb *
Your answer
State *
Your answer
Postcode *
Your answer
BWF Number *
Your answer
Passport Number *
Your answer
Citizenship status *
Required
Affiliated State *
State where you are affiliated
Required
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