Formulario a completar y remitir a la FEA para inscribirse en Curso FEI para Jueces y Stewards.

DISCIPLINE:
ENDURANCE
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Date
of Course: |
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Location: |
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TYPE
OF COURSE:
2nd
3rd
course
course
For
promotion to International Candidate Judge Status
o
o
o
For
promotion to International Judge Status
o
o
o
For
promotion to International Candidate Technical Delegate
o
o
o
For
promotion to International Technical Delegate
o
o
o
For
promotion to International Endurance Steward
o
o
o
For
promotion to International Endurance Veterinarian
o
o
o
Attendance
to maintain International Candidate Judge Status (every 3 years)
o
o
o
Attendance
to maintain International Judge Status
(every 3 years)
o
o
o
Attendance
to maintain International Technical Delegate (every 3 years)
o
o
o
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Name: |
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Home
Phone: |
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Date
of Birth: |
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Work
Phone: |
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Address: |
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Cell
phone: |
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Email: |
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Fax: |
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Languages: |
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Other
A= spoken |
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(Mother
Tongue) |
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B=
Understood |
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Please see: General Regulations Article 148
– 150 and Annex II for the Rules to Endurance Riding.
Functions fulfilled
during previous three years which satisfy promotion requirements as above:
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Year |
Place |
Event
Type |
Function |
Remarks |
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Courses/Seminars
attended (past three years):
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Year |
Place |
Type |
Course Director's Name |
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The NF of |
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hereby certifies that the information above regarding the abovementioned |
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Official is correct and true and wish that the official be promoted subject to the recommendation of the Course Director and the Technical Committee. |
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Signed: |
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Date & |
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NF Official Representative |
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Stamp of NF |
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___________________________________________________________________
TO
BE COMPLETED BY COURSE DIRECTOR AND RETURNED TO FEI UPON COMPLETION OF COURSE
YES
NO
Qualifications
criteria correct and
o
o
sufficient
for promotion
Recommended
for Promotion
o
o
Course
Directors:
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Name: |
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Nationality: |
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Signed |
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Date |
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