22nd INTERNATIONAL OPEN TABLE TENNIS COMPETITION to the Memory of János Molnár 2–5 FEBRUARY, 2017 Entry form must be sent to BVSC Budapest, by 20 January, 2017 at the latest Entry form (Fax: +36-1-4682977; +36-1-2731427) (mail: [email protected] or [email protected])

Nationality: Name of the Team: Team Manager: Contact numbers: E-mail: Fax: Phone:

Players (in order of ranking) Please to write: national ranking place! Born on or after 1 January, 1999 Junior Boys Singles 1 5 2 6 3 7 4 8

Born on or after 1 January, 2002 Cadet Boys Singles 1 5 2 6 3 7 4 8

Born on or after 1 January, 2004 Mini-cadet Boys Singles No. 1 1 5 2 6 3 7 4 8

Born between 1. 1. 2005 and 31. 12. 2005 Mini-cadet Boys Singles No. 2 1 5 2 6 3 7 4 8

Born on or after 1 January, 2006 Mini-cadet Boys Singles No. 3 1 5 2 6 3 7 4 8

Officials / Coaches / Driver Family name – Given name – Function – M or F 1 5 2 6 3 7 4 8

Travelling: by air: by train: by car:

Exact date, time, flight number: of Arrival: of Departure:

Request of transport: of Arrival: yes or no of Departure: yes or no

Total number of participants (players and officials, coaches and drivers together):

Wanted room sharing in the Hotel:

Date Stamp and signature