25° International Tournament City of Sassari (F.S. F.W. G.R) Juniors- Seniors Memorial Matteo Pellicone Sassari (ITA) May 29/30 - 2020
REGULATION
1. General Provisions. 25° International Tournament City of Sassari Senior (FS – FW - GR) Memorial Matteo Pellicone, will be organized by Polisportiva Athlon Sassari and Italian Wrestling Federation (Federazione Italiana Judo Lotta Karate Arti Marziali).
2. Date and place of competition. Competitions will be held from 29/30 May, 2020. Place: Palestra Comunale "Gigi Santoru", Via Rizzeddu 31, Sassari, Italy Date of arrival: May 28, 2020 Date of departure: May 31 2020
3. Participation. Nations invited to take part in the competition:all National Federations affiliated to the UWW
4. Formalities for Clubs Admission Countries can participate with more than one club; each club will be marked by a letter ( eg. Italy A - Italy B) but clubs will not be admitted to nation’s ranking. Each club must provide to support its own costs of accommodation and meals.
5. Technical conditions. Competitions will take place in accordance with the Rules of the International Association of Associated Wrestling Styles - United World Wrestling, in Classes and Weights: Junior and Senior (F.S. F.W. G.R)
1/3
2/3 Juniors Men FS. 57-61-65-70-74-79-86-92-97-125 kg. Tolerance 2 kg allowed. Men GR. 55-60-63-67-72-77-82-87-97-130 kg. Tolerance 2 kg allowed. Women FW .50-53-55-57-59-62-65-68-72- 76 kg. Tolerance 2 kg allowed.
Seniors Men FS. 57-61-65-70-74-79-86-92-97-125 kg. Tolerance 2 kg allowed. Men GR. 55-60-63-67-72-77-82-87-97-130 kg. Tolerance 2 kg allowed. Women FW .50-53-55-57-59-62-65-68-72- 76 kg. Tolerance 2 kg allowed.
6. Refereeing Referees of International category are admitted to officiate the competition. All the referees called for the meeting must show the valid United World Wrestling licence for the year 2020
7. Financial conditions The travel expenses of delegations to the place of competition and its departure will be born by the sending National Federations. Hotel fares: €uro 73,00 per person, per night (full board); Room types: double, triple, quadruple. For a single room there is a surcharge of € 15 per person per day (limited quantities, only upon reservation until exhaustion).
8. Logistic Organization The organization will take care of the following services: - Reception and seeing off the delegations in Sassari; - Meals and accommodation in a hotel (4 stars) in Stintino resort - Sassari on 28 May - 31 May 2020 - Local transport on the arrival & departure days of participants, training and cultural program. Transfers by private buses from Fertilia Airport (Alghero - AHO) to the hotel and return are included for all the delegations that will communicate their date and time of arrival and departure (at schedule time for free shuttle service, point 11 of this subsection).
Location: the Hotel is situated in Stintino, Sassari area, at a distance of 500 meters from the equipped beach. Hotel facilities: restaurant, bar, swimming pool, ( in order to carry on trainings before the wrestling competition it will be supplied with a math and a weighing scale )
In conformity with international federations: All delegations are gently asked to schedule rigorously with anticipation their arrival and departure dates as well as the program of their staying at the Hotel in Stintino, ( Sassari area ): Arrival to Sassari : not earlier than May 28, 2020 Departure from Sassari : within May 31, 2020
9. Awarding. Prize for the athlets: 1° Gold Medal - Diploma; 2° Silver Medal - Diploma; 3° Bronze Medal - Diploma;
Teams ranking. The National teams ranking is determinated using the UWW regulation.
10. Admission. The entries must be sent to the Organizing Committee or Italian Wrestling Federation (FIJLKAM) as follows: - Preliminary applications for admission must arrive to the “Polisportiva ATHLON Club Sassari” ( address: Via Giagumona, 73 – 07100 Sassari (SS) – Italy ), not after March 30, 2020. - Personal applications must be sent to the “Polisportiva ATHLON Club” ( address: Via Giagumona n°73 – 07100 Sassari (SS)- Italy ) , not after April 30, 2020. - The final application must arrive not after May 23, 2020 at the same address, at least 6 hours before the beginning of the formalities for the registration of the official weight.
11) Organization: Logistics and Transfers: The organization offers a free transfer service bound to a time table, in order to guarantee a precise and efficient service, the use of the free tranfers arranged by the organization must be booked in advance both incoming and outgoing, in case of non-reservation this service will not be guaranteed.
Arrival of delegations at Alghero airport, transfer to the Hotel Cala Rosa Stintino is guaranteed free of charge by the organization according to a precise timetable. No. 4 free transfers will be available, exclusively at the following times: • Morning: 9:00 ; 11:00 • Afternoon: 15:00 ; 17:00.
Departure of delegations from Hotel Cala Rosa Stintino for Alghero airport transfer is guaranteed free of charge by the organization according to a precise timetable. No. 4 free transfers will be available, exclusively at the following times: • Morning: 8:00 ; 11:00 • Afternoon: 15:30 ; 18:00
NB: all delegations composed of executives, Team Leaders, Officials, Technicians and Athletes, who decide not to take advantage of the free transfers at established time by the organization, both incoming and outgoing, as described above, may provide by themselves and at their own expenses for transport, using any alternative transport (local Public transport Service, Taxi, car rental etc.).
12. Visa Passport: To get the visas, each delegation has to provide the Italian embassy in its own country the formal invitation of the international meeting, stating clearly all the names of their members.
N.B. All the delegation taking part in the competition must send to the organizer committee the final list of the names of their members at least 50 days before their departure, in order to get the visas for the admission to Italy - the address is: Club Polisportiva ATHLON, Via Giagumona, 73 - 07100 - Sassari - Italy – Tel. 0039 079 390039 E-mail [email protected] - www.athlonwrestling.com .
13. Contacts: - Polisportiva Athlon Club Sassari, Via Giagumona, 73 - 07100 Sassari, Italy. Tel (+39) 079390039, E-mail: [email protected] – Website: www.athlonwrestling.com . - Federazione Italiana Judo Lotta Karate Arti Marziali, Via dei Sandolini 79, 00122 Ostia Lido, Roma, Italy. Tel n°1 :: (+39.06) 5643 4512 Tel n°2 (+39.06) 5643 4514 –. E-mail: [email protected] – Website: http://www.fijlkam.it.
COMMON TRAINING CAMP The Italian Wrestling Federation has the pleasure to invite you to take part to a common training camp for Seniors junior FS, WW, GR, after the International Tournament. All entries for the common training camp will include the number of wrestlers and coaches that will take part at the training camp also the style for each team. President Best regards. Vincenzo Piroddu 25° International Tournament City of Sassari Juniors - Seniors (Free Style, Female Wrestling, Greco Roman) Memorial Matteo Pellicone Sassari (ITA) – May 29/30 – 2020
INFORMATIONS SPECIFIQUES/SPECIFIC INFORMATION Details of the organising Federation Polisportiva Athlon Club Sassari Via Giagumona, 73, 07100 Sassari, Italy, Tel (+39) 079390039, E-mail: [email protected], Website: www.athlonwrestling.com Italian Wrestling Federation (Federazione Italiana Judo Lotta Karate Arti Marziali), Via dei Sandolini 79, 00122 Ostia Lido, Roma, Italy. Tel n°1 : (+39.06) 5643 4514 – Tel n°2 : (+39.06) 5643 4512 (+39.06) 5647 0527. e-mail: [email protected] Website: http:// www.fijlkam.it Host broadcaster RAI TV Details of competition venue Palestra Comunale “Palasantoru, Via Rizzeddu, 31 Sassari, Tel (+39) 0792829038 Age group Junior, Seniors according to the UWW. Wrestling Rules. Juniors Weight categories Hommes / Men FS. 57-61-65-70-74-79-86-92-97-125 kg. Hommes / Men GR. 55-60-63-67-72-77-82-87-97-130 kg. Femmes / Women. 50-53-55-57-59-62-65-68-72- 76 kg. Seniors Weight categories Hommes / Men FS. 57-61-65-70-74-79-86-92-97-125 kg. Hommes / Men GR. 55-60-63-67-72-77-82-87-97-130 kg. Femmes / Women. 50-53-55-57-59-62-65-68-72- 76 kg. Number of mats and trademark 3 homologated mats UWW Deadline for preliminary entries 30 March 2020 Deadline for final entries 30 April, 2020 Reception of the teams Airport: Alghero (AHO) – Sassari area Railway station: Sassari - Port: Porto Torres – Sassari area Details of hotel for the teams Hotel Cala Rosa ad Hotel Ancora 4 stars, Stintino, Sassari, Italia Details of hotel for the referees “Hotel Cala Rosa” 4 stars, Stintino, Sassari, Italia Details of hotel for the UWW Bureau. “Hotel Cala Rosa” 4 stars, Stintino, Sassari, Italia Hotel fares per day per persons €. 73,00 with accommodation in double room. NB: for a single room there is a supplement of €uro 15,00 person/night Details of accreditation place Hotel Cala Rosa ad Hotel Ancora 4 stars, Stintino, Sassari, Italia Organizer’s bank details BANK: Banco di Sardegna ACCOUNT NAME: ASD POLISPORTIVA ATHLON SASSARI - Via Giagumona,73 -07100 Sassari (SS) SWIFT CODE/ BIC: BAECIT2B IBAN CODE: IT48B0101517209000070629385 REASON OF PAYMENT: Quota d’iscrizione 25° Torneo Internazionale Città di Sassari di Lotta 2020 . Internet Website Internet Web Site http:// www.athlonwrestling.com http:// www.fijlkam.it
25° International Tournament City of Sassari Juniors - Seniors (Free Style, Female Wrestling, Greco Roman) Memorial Matteo Pellicone Sassari (ITA) – May 29/30 – 2020
Program May 28, Thursday h. 08.00 - 00.00 Arrival of the delegations accreditation place Hotel Cala Rosa ad Hotel Ancora h. 12:30- 13:00 Hotel Cala Rosa Press conference h. 12:30- 14:00 Dinner h. 14:00- 14:30 Hotel Cala Rosa, Stintino, Sassari, Italia Draw Juniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 15:00- 15:30 Hotel Cala Rosa, Stintino, Sassari, Italia referees Conference h. 15:30- 16:00 Technical Conference – All Delegations h. 20:00- 21:00 Dinner Hotel Cala Rosa - Hotel Ancora – Hotel Roccaruia May 29, Friday h. 07:30- 08:00 Final entries for I Medical examination & Weigh-In Juniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 08:30 Bus departure with all delegations, from the Hotel Cala Rosa to the sports hall "Palasantoru" Via Rizzeddu, 31 Sassari h. 10:00- 13:00 Qualification rounds Juniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 13:00- 15:00 Repechage Juniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 12:00- 14:30 At the Palasantoru palasport "Via Rizzeddu, 31 Sassari Lunch at the venue of the event, catering self service
h. 15:00- 15:30 Palasantoru palasport "Via Rizzeddu, 31 Sassari Draw Seniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 15:00- 15:30 Ceremony
h. 15:30- 19:00 Finals 3/5 - 1/2, and Award ceremony in weight categories: Juniors Men FS. 57-61-65-70-74-79-86-92-97-125 kg. Men GR. 55-60-63-67-72-77-82-87-97-130 kg. Women. 50-53-55-57-59-62-65-68-72- 76 kg h. 19:00- 20:00 Bus departure with all delegations, from the "Palasantoru" Via Rizzeddu, 31 Sassari - Hotel Cala Rosa to the sports hall h. 20:00- 21:00 Dinner Hotel Cala Rosa - Hotel Ancora – Hotel Roccaruia
May 30, Saturday h. 07:30- 08:00 Location Hotel Cala Rosa, Stintino, Sassari, Italy. Final entries I Medical examination & Weigh-In Seniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 08:30 Bus departure with all delegations, from the Hotel Cala Rosa to the sports hall "Palasantoru" Via Rizzeddu, 31 Sassari h. 10:00- 13:00 Qualification rounds Seniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 15:00- 15:30 Ceremony
h. 15:30- 19:00 Finals, 3/5 - 1/2 and Award ceremony in weight categories: Seniors FS. 57-61-65-70-74-79-86-92-97-125 kg. GR 55-60-63-67-72-77-82-87-97-130 kg. FW 50-53-55-57-59-62-65-68-72-76 kg. h. 19:00- 20:00 Bus departure with all delegations, from the "Palasantoru" Via Rizzeddu, 31 Sassari - Hotel Cala Rosa to the sports hall h. 20:00- 21:00 Dinner Hotel Cala Rosa - Hotel Ancora May 31, Sunday Departure of delegations
25° International Tournament City of Sassari Juniors - Seniors (Free Style, Female Wrestling, Greco Roman) Memorial Matteo Pellicone Sassari (ITA) – May 29/30 – 2020
FICHE POUR LA DELIVRANCE DE VISA VISA APPLICATION FORM
Fèdèration National :______
National Federation :______
Prènom Nom Date de naissance N° Passeport Titre Surname Name Date of birth Passport N° Qualification
Date :______
Timbre et Signature du Prèsident de la Fèdèration:______
Stamp and Signature of the President of the Federation______
A RETOURNER AVANT LE 10 AVRIL 2020 TO BE RETURNED BEFORE APRIL 10, 2020
25° International Tournament City of Sassari Junior - Seniors (Free Style, Female Wrestling, Greco Roman) Memorial Matteo Pellicone Sassari (ITA) – May 29/30 – 2020
PRELIMINARY ENTRY FORM SENIORS
National Federation ………………...... Wrestlers ...... FS ...... WW ...... GR ………………. Coaches ...... Referees ...... Officials ...... Total number of participants ...... Date & Place ...... Signature – President
25° International Tournament City of Sassari Juniors - Seniors (Free Style, Female Wrestling, Greco Roman) Memorial Matteo Pellicone Sassari (ITA) – May 29/30 – 2020
PRELIMINARY ENTRY FORM JUNIORS
National Federation ………………...... Wrestlers ...... FS ...... WW ...... GR ………………. Coaches ...... Referees ...... Officials ...... Total number of participants ...... Date & Place ...... Signature – President
25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY FREE SYTLE (SENIORS )
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
57 kg ______
61 Kg ______
65 Kg ______
70 Kg ______
79 Kg ______
86 Kg ______
92 Kg ______
97 Kg ______
125 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______
Airline and Flight / L’avion et vol ______
Date ______
Signature of the Federation / Signature du President de la Federation 25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY WOMEN WRESTLING (SENIORS)
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
50 kg ______
53 Kg ______
55 Kg ______
57 Kg ______
59 Kg ______
62 Kg ______
65 Kg ______
68 Kg ______
72 Kg ______
76 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______
Airline and Flight / L’avion et vol ______
Date ______
Signature of the Federation / Signature du President de la Federation 25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY GRECO ROMAN (SENIORS)
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
55 kg ______
60 Kg ______
63 Kg ______
67 Kg ______
72 Kg ______
77 Kg ______
82 Kg ______
87 Kg ______
97 Kg ______
130 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______
Airline and Flight / L’avion et vol ______
Date ______Signature of the Federation / Signature du President de la Federation
25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY FREE SYTLE (JUNIORS)
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
57 kg ______
61 Kg ______
65 Kg ______
70 Kg ______
74 Kg ______
79 Kg ______
86 Kg ______
92 Kg ______
97 Kg ______
125 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______Airline and Flight / L’avion et vol ______
Date ______
Signature of the Federation / Signature du President de la Federation 25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY WOMEN WRESTLING(JUNIORS)
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
50 kg ______
53 Kg ______
55 Kg ______
57 Kg ______
59 Kg ______
62 Kg ______
65 Kg ______
68 Kg ______
72 Kg ______
76 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______Airline and Flight / L’avion et vol ______
Date ______
Signature of the Federation / Signature du President de la Federation 25° International Tournament City of Sassari (ITA) – May 29/30 – 2020
NOMINATIVE ENTRY GRECO-ROMAN(JUNIORS)
Country / Pays : ______
Team leader / Chef ______
Name / Nom 1 Name / Nom 2 Name / Nom 3
55 Kg ______
60 Kg ______
63 Kg ______
67 Kg ______
72 Kg ______
77 Kg ______
82 Kg ______
87 Kg ______
97 Kg ______
130 Kg ______
Coaches / Entraineurs ______
Referees / Arbitres ______
Doctor / Medecin, Masseur ______
Date and time of arrival / Date et heure d’arrivee ______
Airline and Flight / L’avion et vol ______
Date and time of Departure Date et heure de depart ______Airline and Flight / L’avion et vol ______
Date ______
Signature of the Federation / Signature du President de la Federation
SARDINIA INTERNATIONAL WRESTLING TRAINING CAMP The Italian Wrestling Federation has the pleasure to invite you to take part to a training camp for Seniors, Juniors FS, WW, GR after the International Tournament. The cost for the training camp is 73 EUR/person/day.
OFFICIAL INVITATION
SARDINIA WRESTLING TRAINING CAMP ITALIA – SARDEGNA STIN TINO 01/10 JUNE 2020 ALL NATIONAL FEDERATIONS AFFILIATED TO THE UWW ARE INVITED
Polisportiva Athlon officially invited your National Team of Freestyle Male and Female and Greco Roman Wrestling, Senior and Junior for the NEW Sardinia Training Camp, specifically designed to improve the quality and technical knowledge tactics of the most promising athletes in the international Wrestling, to be held in Italy - Sardinia in the resort place of Stintino (Sassari) from June 01-10 2020 This stage will last for 10 days, which will be held daily training sessions in cooperation with other national teams, alternating with short break during which you can enjoy the wonderful location that Stintino is , with its beaches and the fishing village, to make the most of your holiday between sport and tourism. Good training partners and coaches are a key part of the development in this discipline. Carry out training workshops, share techniques and knowledge with athletes and coaches from several National Teams from all over the world you will greatly enhance your skills and knowledge in this sport. You will also have the opportunity to perform, as well as group training, exclusive training sessions, a great solution for your team, in agreement with the other teams. The detailed program of the event, divided by time periods and styles, will be established with the leaders of the participating federation, in order to ensure better success.
Attached on this brochure you can find the official registration form. Costs incurred by you will only be referred to the accommodation at the hotel, according to the price established by the Convention, and transport costs. The organization of Polisportiva Athlon will make available to your team not only his experience and professionalism, but also the entire structure of the sport Palasport of Stintino, which will host the training Camp with three wrestling mats, as well as changing rooms and toilets at your complete full availability.
We attach hereto: program, and convention registration form.
Yours Sincerely President 1/4 Vincenzo Piroddu
PROGRAM 31 MAY 2020 h. 09.00 - 23.00 Arrival and accommodation of the National Team at the Hotel Cala Rosa of Stintino h. 18.00 Technical Conference for planning the detailed training program.
01 – 10 JUNE 2020 DAILY PROGRAM h. 07.00 - 19.00 Opening of the training area h. 08.00 - 10.00 Breakfast h. 12.45 -14.00 Lunch h. 19.45 - 21.00 Dinner
* will be established bands and the division of mats by styles. Individually training sessions can be requested by each country.
TERMS AND CONDITIONS HOTEL: Accomodation in full board at the Hotel Cala Rosa**** - Stintino with accommodation in double, triple or quadruple rooms per day per person EURO 73,00 Single room supplement EURO 15,00
Meals included 1/2 of water and 1/2 of wine. All extras, not included by the general conditions, are borne by the customer.
FREE SERVICES: • Free Wi-Fi area in the Hall of the Hotel Cala Rosa • Swimming pool for the exclusive use of customers • Shuttle service to and from the beach equipped with swimming pool, umbrellas and sunbeds at the Ancora – Stintino
• Sardinia Wrestling Training Camp transfer services: transfers services are not included. All public or private transfer services from/to the Camp (Airports, Hotel etc.) on arrival and on departure must be at each delegation expenses.
• Sardinia Wrestling Training Camp: the organization does not provide for the physiotherapist. Each delegation is free to bring a federal physiotherapist or a trusted private physiotherapist at its own expanses.
Kind regards President Vincenzo Piroddu 2/4
REGISTRATION FORM
FEDERATION: ______
TEAM*: FS GR FW
*( CHECK ONE OR MORE OPTIONS)
ATHLETES: FS N°______GR N°______FW N°______
TEAM LEADERS N°______OFFICIALS N°______DOCTORS N°______COACHES N°______REFEREES N°______OTHERS N°______N° TOT OF PEOPLE: ______
PLANE BOAT
ARRIVAL DATE___/___/_____ PLACE ______H. ___:___
DEPARTURE DATE ___/___/_____ PLACE ______H. ___:___
TERMS OF PAYMENT :
Prepayment is required no later than the date of 30/04/2020, by bank transfer:
BANK: Banco di Sardegna ACCOUNT NAME: ASD POLISPORTIVA ATHLON SASSARI - Via Giagumona,73 -07100 Sassari (SS) SWIFT CODE: BAE CIT2B IBAN CODE: IT48B0101517209000070629385 REASON OF PAYMENT: Quota d’iscrizione al Sardinia Training Camps.
Is required in attached to this, copy of bank transfer done.
The undersigned ______, President of______Federation declares to have read and accepted the terms and conditions described in the brochure of the event.
Date______Stamp and Signature President of Federation______
3/4
VISA APPLICATION FORM
FEDERATION: ______
SURNAME DATE OF BIRTH PASSPORT N° QUALIFICATION NAME
Date ______Stamp and Signature President of Federation ______4/4