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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e t a D e u s s i

f o

e t a D o N

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