Declaration
Athlete licenced or registered for a Foreign Federation
Name ………..Surname/Family Name………...
Born in……… on (dd-mm-yyyy)………
Nationality………Sex: M F Address………..
Country……….
Declares that
is registered for or licenced by the following IAAF Federation:
Federation Name………
Club/Team (if applicable) ……….
Card number/code ………
I hereby declare myself fully responsible for this declaration, acknowledging the legal consequences of a false statement.
Signature………..
Date………...
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