Visa Request Form (MB, 2011)

Page 1

FIG FIGART ARTW-CUP: W-CUP:BBCATEGORY CATEGORY––INDIVIDUAL INDIVIDUALAPPARATUS APPARATUS 44TH SALAMUN MEMORIAL 23TH – 25TH SEPTEMBER 2011 MARIBOR, SLOVENIA FORM TO BE SENT TO: ORGANIZING COMMITTEE/HOST FEDERATION Slovenian Gymnastics Federation Contact person: Ursa Bavdek Tržaška 393, 1000 Ljubljana, Slovenia Phone:+386 40 25 66 61 Fax: +386 1 256 66 26 E-mail: gimnastika@siol.net www.gimnasticna-zveza.si; www.salamunov-memorial.si

DEADLINE: AUGUST 23RD, 2011

VISA REQUEST FORM CONTACT PERSON : PHONE: E-MAIL:

FEDERATION

FUNCTION

FULL NAME

GENDER M/F

PLACE AND DATE ……………………………………………..

DATE

CITIZENSHIP

OF BIRTH

AND

PASSPORT N°

SEAL OF THE NF

PASSPORT EXPIRY DATE

ARRIVA L DATE

DEPARTUR E DATE

CITY THE VISA APPLICATION SUPPORT LETTER MUST BE SENT TO

NF AUTHORISED SIGNATURE …………………………………………….. Signature of the President or Secretary General of the FIG affiliated NF.


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