30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
th 1. This Forms must be sent back to UAE Cycling Federation by 7 March 2010 to confirm your participation, along with 4 passport size recent photographs/white background, for each participants and officials, (write the names on back side). Forms received late will not be accepted.
ELITE MEN Name of Federation : Address :
Tel No. Fax No. E-Mail : UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Sprint
Time Trial (not likely to be held) Team Pursuit
Keirin
Team Sprint
Individual Pursuit
Point Race
1/8
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Madison
Scratch
Omnium
Individual Road Race
Individual Time Trial
Name of Federation :
Name of President/Secretary General:
Signature and Stamp :
Date and Place :
2/8
Page 2 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
th 1. This Forms must be sent back to UAE Cycling Federation by 7 March 2010 to confirm your participation, along with 4 passport size recent photographs/white background, for each participants and officials, (write the names on back side). Forms received late will not be accepted.
JUNIOR BOYS Name of Federation : Address :
Tel No.
Fax No. E-Mail : UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Sprint
Time Trial (not likely to be held) Team Pursuit
Keirin
Team Sprint
Individual Pursuit
Point Race
3/8
Page 3 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Scratch
Individual Road Race
Individual Time Trial
Name of Federation :
Name of President/Secretary General:
Signature and Stamp :
Date and Place :
4/8
Page 4 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
th 1. This Forms must be sent back to UAE Cycling Federation 7 March 2010 to confirm your participation, along with 4 passport size recent photographs/white background, for each participants and officials, (write the names on back side). Forms received late will not be accepted.
ELITE WOMEN Name of Federation : Address :
Tel No. Fax No. E-Mail : UCI COD E/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Sprint
Time Trial (not likely to be held) Team Pursuit
Team Sprint
Individual Pursuit
Point Race
5/8
Page 5 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Scratch
Omnium
Individual Road Race
Individual Time Trial
Name of Federation :
Name of President/Secretary General:
Signature and Stamp :
Date and Place :
6/8
Page 6 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
th 1. This Forms must be sent back to UAE Cycling Federation by 7 March 2010 to confirm your participation, along with 4 passport size recent photographs/white background, for each participants and officials, (write the names on back side). Forms received late will not be accepted.
JUNIOR GIRLS Name of Federation : Address :
Tel No. Fax No. E-Mail : UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Sprint
Time Trial (not likely to be held) Team Pursuit
Team Sprint
Individual Pursuit
Point Race
7/8 Page 7 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
UCI CODE/ EVENT SURNAME FIRST NAME PASSPORT No. LICENCE No. Scratch
Individual Road Race
Individual Time Trial
Name of Federation :
Name of President/Secretary General:
Signature and Stamp :
Date and Place :
8/8
Page 8 of 9
30 th Asian Cycling Championships 17 th Asian Junior Cycling Championships 8 - 17 April 2010, UAE
ENTRY FORM BY NAME
th 1. This Forms must be sent back to UAE Cycling Federation by 7 March 2010 to confirm your participation, along with 4 passport size recent photographs/white background, for each participants and officials, (write the names on back side). Forms received late will not be accepted.
OFFICIALS Name of Feder ation : Address : Tel No. : Fax No. : E-Mail : Title SURNAME FIRST NAME Gender (M/F) PASSPORT No. Chief/Deputy Chief of the Delegation Team Manager
Coach
Mechanic
Doctor Masseur
Interpreter Others
Name of Federation :
Name of President/Secretary General:
Signature and Stamp :
Date and Place :
Page 9 of 9