ࡱ>  bjbj 4X '>BBaaauuu8|)um"+++9m;m;m;m;m;m;m$o>rj_ma.'+.._mtm000.Va9m0.9m00jQhlo``u.j j2%mm0m?jrr/`rdlralt+,^0n,L,G+++_m_mq0j+++m....r+++++++++B K:  Athlete Name/Nom de lathlte: ________________________ ATHLETE CHANGE OF INFORMATION FORM / FORMULAIRE DE MODIFICATIONS DES INFORMATIONS  1. NAME:  SURNAME/ NOM FIRST NAME/ PRENOM 2. DATE OF BIRTH/ DATE DE NAISSANCE: DAY MONTH YEAR 3. FILA LICENCE CARD NUMBER: 4. NATIONALITY:  New permanent residential address / NOUVELLE ADRESSE DE RESIDENCE PERMANENTE  NEW E-MAIL ADDRESS / NOUVELLE ADRESSE E-MAIL : CHANGED ADDRESS/TIMES FOR PRIMARY TRAINING VENUE / CHANGEMENT DU LIEU ET DE LHORAIRE DU 1ER CAMP DENTRAINEMENT : FACILITY NAME/ NOM DU LIEU DENTRAINEMENT: FACILITY ADDRESS /ADRESSE DU LIEU DENTRAINEMENT : DAILY SCHEDULE/ HORAIRE JOURNALIER DAY/ JOUR SUNDAY/ DIMANCHEMONDAY/ LUNDITUESDAY/ MARDIWEDNESDAY/ MERCREDITHURSDAY/ JEUDIFRIDAY/ VENDREDISATURDAY/ SAMEDIAM/ MATINPM / APRES-MIDI CHANGED ADDRESS/TIMES FOR SECONDARY TRAINING VENUE / CHANGEMENT DU LIEU ET DE LHORAIRE DU 2EME CAMP DENTRAINEMENT : SUNDAY/ DIMANCHEMONDAY/ LUNDITUESDAY/ MARDIWEDNESDAY/ MERCREDITHURSDAY/ JEUDIFRIDAY/ VENDREDISATURDAY/ SAMEDIAM MATINPM APRES-MIDI FACILITY NAME/ NOM DU LIEU DENTRAINEMENT: FACILITY ADDRESS /ADRESSE DU LIEU DENTRAINEMENT : DAILY SCHEDULE/PROGRAMME JOURNALIER DAY/ JOURSUNDAY/ DIMANCHEMONDAY/ LUNDITUESDAY/ MARDIWEDNESDAY/ MERCREDITHURSDAY/ JEUDIFRIDAY/ VENDREDISATURDAY/ SAMEDIAM MATINPM APRES-MIDI ADDITIONAL TEMPORARY RESIDENTIAL ADDRESS/ ADRESSE DE RESIDENCE TEMPORAIRE ADDITIONELLE:     uPDATES TO TRAINING CAMP SCHEDULE/ CHANGEMENT DE DATE DE CAMP DENTRAINEMENT      uPDATES TO COMPETITION SCHEDULE / MISE A JOUR PROGRAMME COMPETITION  CHANGES TO 3-MONTHLY PLAN / autreS modifications dans le programme trimestriel     I acknowledge that ATHLETE CHANGE OF INFORMATION FORM may be shared with the World Anti-Doping Agency and other relevant authorities as specified in the World Anti-Doping Code on the condition that the information be used for doping control purposes only. Je reconnais que les informations sur le formulaire Changement dinformations peuvent tre partages avec lAMA ou dautres autorits selon le Code Mondial Antidopage la condition que ces informations soient utilises pour des questions de contrle de dopage uniquement. I recognize that failure to provide accurate and adequate information on time may result in investigation and sanctions imposed by my governing body of sport, FILA. / Je reconnais que le manque dinformations exactes et adquates dans les dlais peut conduire une enqute et des sanctions de la part de la FILA.        PAGE  PAGE 3 Personal Information/ Informations personnelles Location/Schedule Updates (CHANGED DETAILS ONLY) / MISE A JOUR SEJOUR-PROGRAMME (SEULEMENT LES CHANGEMENTS) NO STREET/RUE TOWN/VILLE  POST CODE COUNTRY/PAYS TEL NR NUMBER STREET/RUE TOWN/VILLE STATE/PROVINCE POST CODE COUNTRY/PAYS TEL NUMBER FROM DAY MONTH YEAR TO DAY MONTH YEAR DU : .JOUR .. MOIS AU JOUR..MOIS. ANNEE.. 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