Mobile Legends Registration

One team = 5 starters plus up to 3 substitutes (roster of 5–8).

Team

PICPA Region / Chapter *

Team Name *

Team Coordinator (our contact person)

Full Name *

Mobile No. *Email *

Player 1

Full Name *PRC License No. *Mobile No. *Email *IGN (In-Game Name) *Role *MLBB User ID *Server ID *

Team Captain

Player 2

Full Name *PRC License No. *Mobile No. *Email *IGN (In-Game Name) *Role *MLBB User ID *Server ID *

Team Captain

Player 3

Full Name *PRC License No. *Mobile No. *Email *IGN (In-Game Name) *Role *MLBB User ID *Server ID *

Team Captain

Player 4

Full Name *PRC License No. *Mobile No. *Email *IGN (In-Game Name) *Role *MLBB User ID *Server ID *

Team Captain

Player 5

Full Name *PRC License No. *Mobile No. *Email *IGN (In-Game Name) *Role *MLBB User ID *Server ID *

Team Captain

I confirm the details above are accurate and I consent to PICPA collecting and processing this data for the 81st Annual National Convention sports events, in line with the Data Privacy Act of 2012.