FINAL REGISTRATION FORM

GOLDEN BELT TOURNAMENT “NICOLAE LINCA” 2013

DEADLINE: 20 August 2013

COUNTRY
NAME OF FEDERATION
NAME OF PRESIDENT
NAME OF SECRETARY GENERAL
ADDRESS
TEL.
FAX
EMAIL
WEBSITE

We hereby confirm that, on the basis of your invitation, our team will participate in the Golden Belt International Tournament 2013 to be held from September 04 – September 10 in Constanta city, Romania

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86

DEADLINE: 20 August 2013

DELEGATION FINAL REGISTRATION
FUNCTION / AIBA DATABASE NUMBER / FIRST NAME / LAST NAME / DATE OF BIRTH / PASSPORT NO. / PASSPORT ISSUED DATE / PASSPORT EXPIRY DATE / NATIONALITY
TEAM MANAGER
TEAM COACH
TEAM COACH
TEAM COACH
TEAM COACH
TEAM DOCTOR
PHYSIOTHERAPIST
1-3 BOXERS: 2 coaches4-7 BOXERS: 3 coaches8-10 BOXERS: 4 coaches

We hereby confirm that, on the basis of your invitation, our team will participate in the Golden Belt International Tournament 2013 to be held from September 04 – September 10 in Constanta city, Romania

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86

DEADLINE: 20 August 2013

BOXERS FINAL REGISTRATION FORM
WEIGHT CATEGORY / KG / AIBA DATABASE
NUMBER / FIRST NAME / LAST NAME / DATE OF BIRTH / PASSPORT NO. / PASSPORT ISSUED DATE / PASSPORT EXPIRY DATE / NATIONALITY
LIGHT FLY / 46 - 49
FLY / 52
BANTAM / 56
LIGHT / 60
LIGHT WELTER / 64
WELTER / 69
MIDDLE / 75
LIGHT HEAVY / 81
HEAVY / 91
SUPER HEAVY / 91 +
TOTAL NO. OF BOXERS / ---

We hereby confirm that, on the basis of your invitation, our team will participate in the Golden Belt International Tournament 2013 to be held from September 04 – September 10 in Constanta city, Romania

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86

DEADLINE: September___, 2013

RESERVE BOXERS REGISTRATION FORM
WEIGHT CATEGORY / KG / AIBA DATABASE NUMBER / FIRST NAME / LAST NAME / DATE OF BIRTH / PASSPORT NO. / PASSPORT ISSUED DATE / PASSPORT EXPIRY DATE / NATIONALITY
LIGHT FLY / 46 - 49
FLY / 52
BANTAM / 56
LIGHT / 60
LIGHT WELTER / 64
WELTER / 69
MIDDLE / 75
LIGHT HEAVY / 81
HEAVY / 91
SUPER HEAVY / 91 +
TOTAL NO. OF BOXERS / ---

We hereby confirm that, on the basis of your invitation, our team will participate in the Golden Belt International Tournament 2013 to be held from September 04 – September 10 in Constanta city, Romania

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86

DEADLINE: August 20, 2013

TEAM OFFICIALS & ATHLETES BOOKING ACCOMMODATION FORM
LAST NAME1 / LAST NAME 2 (WHEN IN DOUBLE OCCUPANCY) / DATE OF CHECK-IN / DATE OF CHECK-OUT / NO. OF NIGHTS / DOUBLE ROOM / SINGLE ROOM
SUB TOTAL - Number of Rooms
TOTAL TEAM DELEGATES - Number of Rooms
*** NO EXTRA OFFICIALS ARE ALLOWED TO STAY IN THE TEAM DELEGATION HOTEL ***

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86

FOR EXTRA OFFICIALS ALSO PLEASE PROVIDE US WITH THE NATIONALITY, PASSPORT ISSUED DATE AND EXPIRY DATE

DEADLINE: August 20, 2013

EXTRA OFFICIALS ACCOMMODATION FORM
LAST NAME1 / LAST NAME 2
(WHEN IN DOUBLE ROOM) / DATE OF CHECK-IN / DATE OF CHECK-OUT / NO. OF NIGHTS / SINGLE ROOM
EuroYYY Person/Day / SINGLE ROOM
Euro YYY Person/Day
SUB TOTAL EXTRA OFFICIALS - Euro
GRAND TOTAL EXTRA OFFICIALS - Euro
*** NO EXTRA OFFICIALS ARE ALLOWED TO STAY IN THE TEAM DELEGATION HOTEL/ NO TEAM ACCREDITATION IS GIVEN TO EXTRA OFFICIALS***

TITLE: ______NAME: ______

(President or Secretary General)

SIGNATURE: ______DATE: ______/ ______/ 2013

PLEASE RETURN THIS FORM TO: Romanian Boxing Federation

E-mail:

Telephone: +4 021 317 01 85 Fax: +4 021 317 01 86