Note De Nomination
Total Page：16
File Type：pdf, Size：1020Kb
Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men
Form 1 : NUMERICAL INSCRIPTION – FIGHTING AND DUO CLASSIC
FEDERATION ......
Address:
Telephone: Fax:
Email:
Weight Participation Weight Participation category (number) category (number) Men Women
-56 kg -49 kg
-62 kg -55 kg
-69 kg -62 kg
-77 kg -70 kg
-85 kg +70 kg
-94 kg
+94 kg
DUO CLASSIC DUO CLASSIC
Duo classic mixt Number of couple :
Coaches
Medics
Physiotherapist
Referees
Team Officials
Total Total Delegation Competitors: Officials: Total:
Please send this document, completed, to the French Judo, Jujitsu Federation ([email protected] / fax : 00.33.1.40.52.16.10) before the 31st of March 2017.
DATE: Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 1/6 Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men
Signature of the head of the delegation and stamp of the federation
Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 2/6 Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men
Form 2 : NUMERICAL INSCRIPTION – NE WAZA
FEDERATION ......
Address:
Telephone: Fax:
Email:
Weight Participation Weight Participation category (number) category (number) Men Women
-56 kg -49 kg
-62 kg -55 kg
-69 kg -62 kg
-77 kg -70 kg
-85 kg +70 kg
-94 kg
+94 kg
Coaches
Medics
Physiotherapist
Referees
Team Officials
Total Total Delegation Competitors: Officials: Total:
Please send this document, completed, to the French Judo, Jujitsu Federation ([email protected] / fax : 00.33.1.40.52.16.10) before the 31st of March 2017.
DATE: Signature of the head of the delegation and stamp of the federation
Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 3/6 Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men
Form 3 : Media Accreditation Form
FEDERATION : ......
Last name
First name
Passport Number
AIPS Card No
National Press Card No
Personal e-mail
Personal mobile no
Company
Company Post Address
Postal Code, City, Country
Sports department E-mail
Sports department Phone
Function (please circle) Journalist Photographer Technician
Media (please circle) Television Radio Newspaper Magazine Internet
Please send this document, completed, to the French Judo, Jujitsu Federation ([email protected] / fax : 00.33.1.40.52.16.10) before the 21st of April 2017.
DATE:
Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 4/6 Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men
Form 4 : Visa Application Form FEDERATION Stamp & Signature
Our delegation needs the invitation from the______till the ______of ______. We will apply for visas at the ______Embassy in______. (country, city) Please fill in the table in BLOCK LETTERS. Please also attach a COPY OF PASSPORT.
Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 5/6 Jujitsu Grand Slam Paris Open 2017 Fighting – Duo classic –Ne waza Women and Men y r i p x e
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s s a P y t i l a n o i t a N h t r i B
f o
e c a l P h t r i B
f o
e t a D n o i t i s o P e m a N
t s r i F e m a n r u S
Please send this document, completed, to the French Judo, Jujitsu Federation ([email protected] / fax : 00.33.1.40.52.16.10) before the 31st of March 2017.
Reference : Original text: English Jujitsu Grand Slam Paris Open 2017 – Forms fighting – duo classic – ne waza Document last updated on 03/01/2017 Page : 6/6