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INVITATION - RTB

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6 th Pre-Olympic-Youth-Cup<br />

Bergisch Gladbach, Germany<br />

April, 27 th 2013<br />

Form to be sent to:<br />

Organizing Committee<br />

Rhenania Gymnastics Federation, Marc Kollbach<br />

Paffrather Straße 133, 51465 Bergisch Gladbach<br />

Phone: +49 (0) 2202 – 2003 – 25<br />

Fax: +49 (0) 2202 – 2003 – 90<br />

kollbach@rtb.de<br />

Contact person:<br />

Deadline: March 29 th , 2013<br />

VISA REQUEST FORM<br />

Federation/Club<br />

Phone:<br />

E-mail:<br />

LAST NAME,<br />

First name<br />

Function<br />

Gender<br />

M/F<br />

Date of birth<br />

dd.mm.yyyy<br />

Citizenship and<br />

passport N°<br />

Passport<br />

expiry date<br />

Arrival date Departure date City*<br />

* city where the visa application support letter must be sent to<br />

Place and date Seal authorised signature<br />

8

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