Personal info Membership ID: Name : CIF/NIF/Passport : Date of birth

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1 Photo Document Number Personal info Membership ID: Name : CIF/NIF/Passport : Date of birth First Surname: Second Surname Mobile phone number: Land line number : Street type / Street name (*): Street Block number : Entrance Floor Number Country : Province : Town/city : Postal Code : Language of communication : I do not wish to receive any messages Bank details IBAN: Bank code : Office : DC : Account number: Name : ID Soci Surname 1 : Surname 2 CIF/NIF/Passport : Foreign residents PAN card Valid until

2 The legal guadians of a member under 18, must provide their personal details. Father Name CIF/NIF/Passport Surname 1 Surname 2 Language of communication Mobile phone number Land line number Mother Name CIF/NIF/Passport Surname 1 Surname 2 Language of communication Mobile phone number Land line number Tutor Name CIF/NIF/Passport Surname 1 Surname 2 Language of communication Mobile phone number Land line number

3 Family unit Number of members in your family unit: Member 1 Member 2 Member 3 Member 4

4 Family unit Member 5 Member 6 Member 7 Member 8

5 Questionnaire What is your employment situation? Student Not working/out of the labour market/housewife Retired (please state previous profession) Currently unemployed Land owner/farming business Industrial, retail or service business person Liberal professional or independent, self employed(lawyer, engineer, doctor, etc.) Director or top executive (of public or private company or the armed forces) Mid level executive (of public or private company or the armed forces) Self employed Professional and technical worker Head of department (of public or private company or the armed forces) Administrative personnel. Skilled manual worker. Manual worker, apprentice Babe

6 Questionnaire Which of the Club s professional sections do you usually follow? Football first team Basketball Roller Hockey Football Barça B Handball Futsal None of the above Do you play any sport? Football Gym Tennis Running Golf Paddle tennis Basketball Swimming Other team sports Other individual sports None of the above Which category of products and services are you interested in? Fashion/clothing Soft drinks Banks/financial services Consumer electronics Beers Computer games/ Consoles Mobile phones Airlines Pay TV Travel/tourism Luxury goods (jewellery, Insurance watches etc) Cars Computers, computer None of the above accessories Sports betting Sports clothes/ sports kits

7 Mobility People with physical disabilities (people with limited mobility) People with sense disabilities Visual Hearing Visual i Auditiva

8 MINOR MEMBERS The progenitors and/or adult designated as the legal guardian of the minor whose details are stated in the present form accepts full responsibility for the truthfulness and veracity of the same in the name of and in representation of the minor. Sign LEGITIMISATION OF SIGNATURE BY MINOR I, Mr./Ms. [...], Notary of the Illustrious College of [...], // Notary of [...] // Consular member of the Spanish Consulate in [...], with residence in [...], VERIFY THAT: Mr./Ms. [...] adult, of [...] nationality, in name and representation of the minor [...], of [...] nationality, as the progenitor and/or legal representative considered to be the legal guardian of said minor, hereby presents myself with the original document accrediting his/her identity (DNI/NIE/Passport/other similar with the same identification effects) number [...], by which I have identified this person, as well as the legal document that accredits his/her relation and legal responsibility for the aforesaid minor, and consider legitimate the signature that is provided on the form updating the 2012 census of members of Futbol Club Barcelona. And in proof of the same, I hereby issue the present at [...place..., on [...date...,of 2012] Stamp

9 ADULT MEMBERS The undersigned accepts responsibility for the truthfulness and veracity of the data stated in the present form Sign LEGITIMISATION OF ADULT SIGNATURE I, Mr./Ms. [...], Notary of the Illustrious College of [...] // Notary of [...] // Consular member of the Spanish Consulate in [...], with residence in [...], VERIFY THAT: Mr./Ms. [...], of [...] nationality, adult, hereby presents myself with the original document accrediting his/her identity (DNI/NIE/Passport/other similar with the same identification effects) number [...], by means of which I have identified this person, and consider legitimate the signature that is provided on the form updating the 2012 census of members of Futbol Club Barcelona. And in proof of the same, I hereby issue the present at [...place...], on [...date...,of 2012] Stamp

10 Members residing in Catalonia or elsewhere in Spain, must address themselves to any notary. Members residing abroad have two options: Address themselves to the Spanish consulate located in the territory or country of origin, if there is one (e.g. Spanish Consulate in Turkey, Spanish Consulate in Portugal, Spanish Consulate in France, etc.), as the legislation being applied is Spanish Law and therefore the conditions for legitimisation are the same as those for notaries in Catalonia and the rest of Spain. For information on Spanish consulates located abroad, we attach a series of links to the Ministry for Foreign Affairs and Cooperation (MAEC), where you will be able to find said information: Address themselves to any notary in the country of origin (e.g. Turkish notary, Portuguese notary, French notary, etc.). In this case, there is only one exception, if the country of origin forms part of the Hague Convention, it will also be necessary for the signed form legitimised by a notary, e.g. a French notary, to include an Apostille. This means that in order to recognise the judicial effectiveness of the legitimisation of a French notary in Spain, it will be necessary to go through the process known as Apostille. We attach a link to the State Ministry of Justice with further information on this procedure: In order to obtain a list of the countries that form part of the aforesaid Hague Convention, we attach the following link, where you find all of the countries listed:

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