Persatuan Rugby Union Indonesia is collecting database on every Rugby players in Indonesia or Indonesian (at least 1 parent or grandparent that was born in Indonesia). This database will be used for rugby purposed only.

Indonesian Rugby Player Database Registration

    Is this the first time you are submitting your information?

    Name

    Gender

    Date of Birth (Day-Month-Year)

    Weight (Kg)

    Height (Cm)

    Personal Contact Info

    Email

    Phone Number

    Address




    Emergency Contact Name

    Your Relation to Your Emergency Contact

    Emergency Contact Number

    Rugby Experience

    Position
    Preference I
    Preference II
    Preference III

    Current Club / Team/ School

    Current Rugby Club / School Coach or Manager Name

    Current Rugby Club / School Coach or Manager Email

    How long have you been playing Rugby? (Month)

    Please share a brief history of your playing career

    Upload a scanned copy of your current ID or passport