D* CERTIFICATE EXAMINATION REPORT

We wish to notify the Pony Club Association of Western Australia Inc that our club conducted a D* Certificate examination, as follows:

PONY CLUB
DATE OF EXAMINATION / VENUE
EXAMINER
QUALIFICATIONS (IF ANY)
EXAMINER’S CLUB

The results were as follows:

CANDIDATES PASSED
NAME / AGE at 1/1/2016 / CLUB
CANDIDATES NOT YET COMPETENT
NAME / AGE at 1/1/2016 / CLUB
PONY CLUB COACH/S WHO PREPARED CANDIDATES
NAME OF COACH / SECTIONS OF SYLLABUS COVERED (eg Flatwork, S/J, Horsemastership)
CERTIFICATES AND DISCS
Club Contact:
Address Certificates to be sent to:
Club President or Secretary Signature / Examiner Signature
I am happy to have my signature electronically added to the
certificates / Yes / No

EXAM PAPERS TO BE RETURNED TO THE CANDIDATE

Names of the successful Candidates will be printed on all certificates by the State Office.

E, D & D* Certificates will be printed and sent direct to the Pony Club.

C, C* and above will be printed and sent to the Chief Examiner for signing accompanied by a stamped, addressed envelope for forward posting to the Pony Club.

Please return this report to:

Pony Club Association of Western Australia Inc
303 Cathedral Avenue
BRIGADOON WA 6069 / Phone: (08) 9296 1500
Email:

NovaCore\DMS\Coaching\SCP - D Star Certificate Examiners Report 1 of 1

Next review 28 Sep 2017 Rev 1.0 (27 Sep 2016) Approved by ELAWRIE