FEDERATION MONDIALE DU JEU DE DAMES World Draughts Federation Member of SportAccord Member of IMSA (International Mind Association)

Subject: FMJD membership certification and participation in World Championship 2017

FMJD office [email protected]

President Dear member federations of the FMJD H.A.F.M. Otten Johanniterlaan 26 6721 XZ Bennekom The General Assembly 2015 has accepted a proposal for the World The Championship International draughts on 100 squares in 2017 to be played tel: +31-653-184142 [email protected] with 84 players. Every member of FMJD has the right to participate with one (extra) player in this World Championship. 20 federations can send a Vice President Mrs. Chen Zelan player who can participate with costs for hotel and meals paid by the 80, Tian Tan Dong Rd., Beijing, organisation. All other member federations may participate with a player China 100061 tel: +86 10 87551972 who has to pay for his own costs for hotel and meals. [email protected]

General Secretary The following federations have the right to send a player with costs paid F. Teer by the organisation. Meerweg 32 5384 SJ Heesch, The Netherlands 1. Belarus 8. Estonia 15. Mongolia tel: +31-412-454 694 [email protected] 2. 9. France 16. Netherlands

Treasurer 3. 10. Germany 17. Poland F. Luteijn Waldeck Pyrmontkade 863, 4. Cameroon 11. Italy 18. Russia 2518KD Den Haag The Netherlands 5. China 12. Ivory Coast 19. Surinam tel: +31-651-429387 [email protected] 6. Curacao 13. Latvia 20. Ukraine

ABN/AMRO 51.39.03.682 7. Czech Republic 14. Lithuania City : Arnhem BIC code: ABN ANL 2A ALL the other federations have the right to send a player with IBAN: NL09ABNA0513903682 hospitality costs paid by themselves or by their federation.

Tournament Director J. Pawlicki The right for this places is only valid if the federations have paid their Cukrowa 49/1 71-004 Szczecin, Poland membership fees. If the membership fee of 2017 is not paid before March tel: +48 914882288 31,2017 the federation loses this right for their player to participate. [email protected]

Tournament director youth All federations are kindly requested to fill in the attached form and scan it J. Demasure and return it to the FMJD before February 28th. Elfde Julilaan 22, 8860 Lendelede, Belgium tel: +32 51 30 70 34 Also, if you are not going to participate you are asked to fill in the form as tel: +32 478 39 56 07 [email protected] the FMJD needs your confirmation of membership for a possible IOC recognition.

Yours sincerely,

Tournament director FMJD / General Secretary FMJD

FMJD membership certification and participation in the World Championship 2017

The undersigned, name:

Official of the federation:

Country or region:

States the following:  Our federation is member of FMJD  Our federation is recognized by our National Olympic Committee (Yes or No) ______ Our federation organises yearly national championships (Yes or No) ______ Our official web ______email ______ President ______in each of the one or several or disciplines: the number of Players (registered or holding a license) in it (same player can be included into many groups): International draughts on 100 squares 64 draughts – international version 64 draughts – Russian version Checkers Turkish draughts Italian draughts Czech draughts …… ……

Our federation is using the right to participate with an (extra) player in the World Championship International draughts on 100 squares 2017 (Yes or No) ______

Our participant is: (first name and last name) …………………………………………, or Our participant will be announced before …… / … / 2017 (ultimately July 1,2017 !!!!)

We understand that we have to pay the FMJD membership fee for 2017 ultimately on March 31,2017 and otherwise loose the right for our player to participate in the World Championship 2017 Signature and stamp of the federation