MERIT AWARD NOMINATION 2017

NAME OF NOMINEE ______
Name of Federation ______
Contribution TO ATHLETICS AT THE International Level
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Other Involvements / ACHIEVEMENTS IN ATHLETICS
____________
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Interesting facts about the Nominee
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Signature of Federation President OR DESIGNATED FEDERATION REPRESENTATIVE

NOMINATIONS CLOSE ON 30 September 2016

Nominations should be sent to:

Oceania Athletics Association

139 Varsity Parade, Varsity Lakes, Queensland 4227 AUSTRALIA

Email: