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6 th Pre-Olympic-Youth-Cup Bergisch Gladbach, Germany April, 27 th 2013 Form to be sent to: Organizing Committee Rhenania Gymnastics Federation, Marc Kollbach Paffrather Straße 133, 51465 Bergisch Gladbach Phone: +49 (0) 2202 – 2003 – 25 Fax: +49 (0) 2202 – 2003 – 90 kollbach@rtb.de Contact person: Deadline: March 29 th , 2013 VISA REQUEST FORM Federation/Club Phone: E-mail: LAST NAME, First name Function Gender M/F Date of birth dd.mm.yyyy Citizenship and passport N° Passport expiry date Arrival date Departure date City* * city where the visa application support letter must be sent to Place and date Seal authorised signature 8
Name Club Nation Coach Pre-Olympic-Youth-Cup April 27 th , 2013 Bergisch Gladbach, Germany Date of birth Place of birth Place of residence Family Profession / School Languages Hobbies Favourite Gymnast Favourite Apparatus Active Gymnast since Gymnast Information 9
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