Certificate of

Academic Eligibility

EVENT / 2017 Winter Universiade / SPORT / Wintersport
COUNTRY / Australia / COUNTRY CODE / AUS

1. To be completed by competitor/ Athlete

(Section 1 to be completed electronically with all fields compulsory. Form may not be eligible if not completed in full)

Family Name / First Name / Gender
Nationality / Date of Birth (DD/MM/YYYY) / Place of Birth
Australian
Name of University / Institution
Course Level (e.g. bachelor / diploma) / Name and Title of Course / Student #
Course Commence Date / Year of Study / Proposed Graduation Date
2015
Passport # / Expiry Date (DD/MM/YYYY) / Height (cm) / Weight (kg)

2. To be completed by Educational Institution

I certify to the best of my knowledge that the above academic record is correct, and eligibility requirements have been met. (See overleaf)

______

University Registrar Name (not faculty or sport department)

______/ /

Signature Date

3. To be completed by AUS

______

FNSU Name (AUS CEO)

______/ /

Signature Date

Warning

The information given above must be accurate to the best of the signatories knowledge at the date indicated. False information will lead to disqualification. Should details change please inform AUS immediately.

ELIGIBILITY REQUIREMENTS

Australian University Sport (AUS) currently applies the following regulations when selecting representative teams to participate in FISU competitions:

a)  FISU Regulations 5.2.1

Only the following may participate as competitors in a FISU sporting event:

i) Students who are currently enrolled and proceeding towards a diploma or higher at a university or similar institute whose status is recognised by the appropriate national academic authority of their country (e.g. the Australian Government Department of Education).

ii) Former students of the institutions mentioned in (i) who have completed their academic degree/diploma in the 12 months preceding the event. (Must provide a copy of graduation certificate)

b) FISU Regulations 5.2.3

All competitors must satisfy the following conditions.

i) be a national of the country they represent (therefore hold a full Australian passport)

ii) be at least 17 and less than 28 years of age on January 1st in the year of the event

c) Students studying abroad are eligible for selection provided they satisfy FISU regulations 5.2.1 and 5.2.3,

including the institution being recognised by that Governments academic authority.

WARNING

The information given overleaf must be accurate to the best of the signatory’s knowledge at the date indicated below. Action will be taken against anyone falsifying information or wilfully misleading AUS. Should any information change, please inform the AUS high performance staff immediately. Please ensure that you have read and understood all eligibility requirements.

We certify that the above information is correct and have read the regulations regarding eligibility.

Athlete/ competitor Name University/ Institution Sport Officer Name

Athlete/ competitor Signature University/ Institution Sport Officer Signature

Date Date

Please return this form to Australian University Sport

Suite 1.12 Sports House 150 Caxton Street Milton QLD 4064 or FAX 07 3876 2620

PLEASE NOTE AUS REQUIRES ORIGINAL COPIES OF ELIGBILITY CERTIFICATES