Fillable ECB ACO Membership Form 2018 AUG (City of Oakland)

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ECB ACO Membership Form 2018 AUG (City of Oakland)

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ECB ACO Annual Member Application Form
If you would like to join the ECB ACO please complete the
application form and return it to: ECB ACO Membership, ECB
Oces, Warwickshire County Cricket Ground, Edgbaston,
Birmingham B5 7QX
Please complete form in BLOCK CAPITALS
Title:
First Name:
Please tick as appropriate:
Surname: Address:
Postcode:
Date of Birth:
Mobile:
Phone (Home):
If you have any form of disability or long-standing impairment please provide details:
(optional)
If you have a current ECB DBS check (less than 3 years old) when does it expire?
(optional)
Email:
(must include)
UMPIRE ACTIVE
SCORER NON-ACTIVE
BOTH
County Aliation:
You will automatically be aliated to a County ACO that you reside in, unless otherwise stated.
Have you attended an ECB ACO Course? Yes No (optional)
If yes, at which venue?
On what date?
V
ia which County?
Gender:
(optional)
Membership you are applying for (please tick your choice):
Full Membership
DD £30
cheque or debit/credit card £
32
DBS required. Insurance provided.
Young Ocials Membership DD £15 cheque or debit/credit card £17
(aged 25 and under)
DBS required if 16 and over. Insurance provided.
Associate Membership DD £15 cheque or debit/credit card £17
No DBS required. No insurance provided.
ICC Europe Membership DD £30 cheque or debit/credit card £32
No DBS required. Insurance provided.
ICC Europe Associate DD £15 cheque or debit/credit card £17
Membership
No DBS required. No insurance provided.
ICC Europe Young DD £15 cheque or debit/credit card £17
Ocials Membership
No DBS required. Insurance provided.
Overseas Membership DD £15 cheque or debit/credit card £17
No DBS required. No insurance provided.
When paid by:
When paid by:
(DD is UK bank accounts only)
(DD is UK bank accounts only)
(DD is UK bank accounts only)
(DD is UK bank accounts only)
Membership No: Ocial use only:
Signature: Date:
click to sign
signature
click to edit
Privacy Notice – Membership of Association of Cricket Ocials
The England and Wales Cricket Board Limited (ECB) is the national governing body for cricket and is also the
Local Organising Committee for the ICC Cricket World Cup 2019 (CWC2019), the operator of the New
Tournament, runs We Are England Cricket Supporters and operates numerous programmes to support
recreational cricket.
Under new laws eective from 25 May 2018, we are required to provide you with certain details concerning
how your personal data will be used and protected.
Full details of how we use and protect your personal data, as well as your rights in respect of it, are in our
Privacy Policy which you can find at www.ecb.co.uk/privacy. A summary of the key points is shown below.
Names of data controller The England & Wales Cricket Board Limited
Contact details Mail:
Email: privacy@ecb.co.uk
Phone: 020 7432 1200
Website: www.ecb.co.uk
England and Wales Cricket Board
Lord’s Cricket Ground
London
NW8 8QZ
Categories of personal data
Full name
Email address
County aliation
Contact number
Address
Date of Birth
Gender
Bank details if applicable
Your role (umpire or scorer), any relevant education or
training courses completed, qualifications or grading
achieved/obtained
DBS status
Special requirements/medical condition (if relevant)
Sources of personal data
You
County ACO
Automated decisions None
Purposes of processing
The ECB will process your personal data for the purposes of:
•
A
dministering your membership and supporting your role
a
s a scorer/umpire
•
Q
uality and improvement monitoring.
Who we will disclose your
personal data to
• County ACO as your local membership body who will
support you in your ociating
•
O
ur nominated provider of ocial ACO merchandise who
will fulfil any orders you place. We will not disclose your
personal data relating to your ethnicity, DBS status, gender
•
I
CC Europe as your local membership body in the case of
ocials based outside of England and Wales but within
Europe. We will not disclose your personal data relating to
your gender, DBS status and ethnicity.
Your right to withdraw consent
Where you have (or for those under 13, your parent or
guardian has) given consent, you/they have the right to
withdraw that consent at any time. If you or they do, it will
not aect the lawfulness of any processing for which we had
consent prior to you withdrawing it.
Location of your personal data We will keep your personal data within the European
Economic Area.
Legal basis for processing
your personal data
The legal basis for the collection and processing of your
personal data is:
•
a
dministration and programme delivery: that it is necessary
to fulfil the contract that you are going to enter into or have
entered into with us or our merchandise provider
•
m
edical support for you: that you have (or if you are under
13, your parent or guardian has) given explicit consent by
answering the question
•
(
in all other cases): that it is necessary for our legitimate
interests which are to build a programme to encourage
participation in cricket and does not prejudice or harm rights
and freedoms of participants or parents / guardians of
children that join the programme.
How long we will keep your
personal data for
We will normally keep your personal data for 2 years after
your last engagement with us. After this time period we will
anonymise your information and keep for analysis of
engagement trends.
Your rights in respect of your
personal data
You have the right of access to your personal data and, in
some cases, to require us to restrict, erase or rectify it or to
object to our processing it, and the right of data portability.
Complaints
If you have any concerns or complaints about how we are
handling your data please do not hesitate to get in touch
by emailing us at privacy@ecb.co.uk or by calling
020 7432 1200. You can also contact the Information
Commissioner’s Oce.
ECB ACO Annual Membership
Instruction to your Bank or
Building Society to pay by Direct Debit
Banks and building societies may not accept Direct Debit Instructions for some types of account.
This Guarantee should be detached and retained by the payer.
The Direct Debit Guarantee
• This Guarantee is oered by all banks and building societies that accept instructions to pay Direct Debits.
• If there are any changes to the amount, date or frequency of your Direct Debit England and Wales Cricket Board Ltd will notify you 28 working days in
advance of your account being debited or as otherwise agreed. If you request England and Wales Cricket Board Ltd to collect a payment,
confirmation of the amount and date will be given to you at the time of the request.
• If an error is made in the payment of your Direct Debit, by England and Wales Cricket Board Ltd or your bank or building society, you are entitled to a
full and immediate refund of the amount paid from your bank or building society.
• If you receive a refund you are not entitled to, you must pay it back when England and Wales Cricket Board Ltd asks you to.
• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
Please fill in the whole form using a ball point pen and send to:
ECB ACO Membership, England and Wales Cricket Board Ltd, Warwickshire County Cricket Ground,
Edgbaston, Birmingham B5 7QX
To: The Manager Bank/Building Society
Address
Postcode
Name(s) of account holder(s)
Bank/building society account number
Branch sort code
Instruction to your Bank or Building Society
Please pay England and Wales Cricket Board Ltd. Direct Debits from the account detailed in this
instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this
instruction may remain with England and Wales Cricket Board Ltd. and, if so, details will be passed
electronically to my bank/building society.
Signature(s)
Date
FOR England and Wales Cricket Board Ltd OFFICIAL USE ONLY.
This is not part of the instruction to your bank or building society.
DD17
ACO Membership number (if known)
Name and full postal address of your Bank or Building Society
93273
Service user number
6 8 7 1 5 5
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ECB ACO Membership Form 2018 AUG (City of Oakland)

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Completed 19 July 2020

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