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