FIFA Fund For Football Players
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PERSONAL INFORMATION OF THE PLAYER
Name
(As it appears in the passport)
Surname
(As it appears in the passport)
Nationality
Date of birth
Email
Phone number
Address/domicile (street name)
House/apartment number
Postcode
City
Country
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REPRESENTATION
Is the player being represented or assisted by a lawyer or player union in this application?
Yes
No
Name
(As it appears in the passport)
Surname
(As it appears in the passport)
Email
Phone number
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Copy of the power of attorney.
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Documentation (.pdf archive)
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CLUB INFORMATION
Name
Country
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Please provide confirmation and the relevant documentation of the affiliation of the club to a member association at the time of execution of the employment contract.
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Documentation (.pdf archive)
Status
Choose one of the following…
Insolvent
Liquidated
Under bankruptcy proceedings
Disaffiliated from its member association
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Please provide the relevant documentation regarding the status of the club (i.e. decision of the relevant national or international authority).
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Documentation (.pdf archive)
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INFORMATION ON THE EMPLOYMENT CONTRACT
Date of signature
Contract period
Monthly salary
Currency
Amount owed
Please note: The amount owed must exclude any possible payment received by the player as a result of the insolvency or bankruptcy proceedings of the club.
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JUDICIAL DECISION
Name of the competent authority
Choose one of the following…
National court or arbitral tribunal
National Dispute Resolution Chamber
FIFA
CAS
Other
Summary of the final and binding decision
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Please provide a copy of the relevant decision.
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Documentation (.pdf archive)
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INFORMATION ON NEW CLUB
If applicable:
Yes
No
Name
Country
Date of signature
Contract period
Monthly salary
Currency
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BANK ACCOUNT INFORMATION
In principle, payments will be made in USD to the personal bank account of the player
Bank name
The bank account has to be in the country of domicile of the player.
Country
Bank address (street name)
Postcode
City
Name of the beneficiary / Bank account holder
The bank account must be the
personal bank account of the player
, registered in their name.
IBAN
Account number
SWIFT (BIC)
Correspondence bank (if applicable)
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Please provide an official bank document confirming your bank account details.
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Official bank document (.pdf archive)
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ADDITIONAL DOCUMENTS UPLOAD
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Please upload any additional documentation that you deem relevant in support of your application.
Please upload documents in .pdf format. Documents not in an official FIFA language shall be submitted with a translation into an official FIFA language (English, Spanish, French, German).
Documentation (.pdf archive)
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PERSONAL DATA SHARING
The applicant consents and authorises that the personal data collected and processed in the application may be shared between FIFA and FIFPRO in strict compliance with the Swiss Federal Act on
Data Protection
, and the purposes of the FIFA FFP.
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TERMS & CONDITIONS
Regarding the information & Documentation submitted
I have read the Protocol Governing the FIFA Fund for Football Players and I agree and accept its content (
click here
to read the Protocol).
I have only provided reliable, accurate, truthful and complete information and documentation and I am aware that the FIFA general secretariat may, at any time, take action to verify the documentation submitted.
I have submitted a duly-certified translation of any documentation that is not in an official FIFA language.
I agree to cooperate with the FIFA general secretariat and comply with any request for documentation, information, or any other material held by me.
Regarding the application process
I have exhausted all national and international sporting and judicial remedies in order to recover the outstanding salary, including requests to similar available financial protection funds established at national and/or continental level.
I acknowledge that neither the members of the Steering Committee nor the FIFA general secretariat acting in an administrative capacity may be held liable for any action or omission relating to any decision or procedure undertaken in accordance with this application form and with the FIFA FFP regulations.
I acknowledge that the Steering Committee has full discretion to approve or reject my application and to decide upon the possible amount allocated, in accordance with the FIFA FFP Regulations.
I acknowledge that the decision of the Steering Committee regarding my application is final and binding and not appealable.
I am aware that if my application is received on or before 31 December of each calendar year, it shall be considered by the Steering Committee in the next calendar year.
Regarding the potential receipt of a FIFA FFP grant
I am aware that payments relating to the FIFA FFP will only be made once a year.
I am aware that, upon receipt of a FIFA FFP grant, I shall bear any possible cost associated with the conversion to the currency of my bank account.
I am aware that I shall bear any tax or social charges derived from receiving a FIFA FFP grant.
I agree that, upon receipt of a FIFA FFP grant, I will not file a claim before the FIFA competent bodies for the outstanding salary covered by the FIFA FFP grant, in case a sporting successor of the non-compliant club arises.
I accept the terms & conditions.