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  • 1-Star - AIBA RJ Data Collection Form2

    Загружено:

    sikisa93
    57 просмотров7 страниц
    This document contains a form for national boxing federations to collect data on referees and judges (R&Js) at any level. The form requests information such as name, nationality, gender, date of birth, address, phone number, email, education history, profession, languages spoken, level of R&J certification and number of bouts officiated, awards, last medical check, and additional comments. National federations are asked to complete the form electronically for each R&J and return it to the AIBA Sports Department.

    Исходное описание:

    AIBA COLLECTION FORM

    Оригинальное название

    1-Star_AIBA RJ Data Collection Form2

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    © © All Rights Reserved

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    This document contains a form for national boxing federations to collect data on referees and judges (R&Js) at any level. The form requests information such as name, nationality, gender, date of birth, address, phone number, email, education history, profession, languages spoken, level of R&J certification and number of bouts officiated, awards, last medical check, and additional comments. National federations are asked to complete the form electronically for each R&J and return it to the AIBA Sports Department.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    57 просмотров7 страниц

    1-Star - AIBA RJ Data Collection Form2

    Загружено:

    sikisa93
    This document contains a form for national boxing federations to collect data on referees and judges (R&Js) at any level. The form requests information such as name, nationality, gender, date of birth, address, phone number, email, education history, profession, languages spoken, level of R&J certification and number of bouts officiated, awards, last medical check, and additional comments. National federations are asked to complete the form electronically for each R&J and return it to the AIBA Sports Department.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 7

    AIBA REFEREES & JUDGES Data Collection

    Please fill in the form for all the Referees & Judges of any level in your National Federation, and please
    return the form electronically along with each R&Js boxing resume
    Merci tous les arbitres et juges, quelque soit leur niveau dans votre fdration, de remplir et
    nous retourner ce formulaire
    Por favor llene este formulario por cada uno de los Juez/rbitro de su Federacin Nacional sin importar el
    nivel

    PHOTO

    First Name / Given Name


    Primer Nombre

    Surname / Family Name


    Apellido

    Nationality
    Nacionalidad

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection

    PERSONAL DETAILS
    DATOS PERSONALES
    Gender

    ) Man / Hombre

    ) Woman / Mujer

    Gnero

    Date of Birth (Day/Month/Year)


    Fecha de Nacimiento (Dia/Mes/Ano)

    Place of Birth (City, Country)


    Lugard de Nacimiento (Ciudad, Pais)
    Current Address, City, Country

    Address:

    Direccion, Ciudad, Pais actual

    Direccion:
    City:
    Ciudad:
    Country:
    Pais:

    Phone Number & E-mail

    Phone Number:

    Numero de Telefono y correo


    electronico

    Numero de telefono:
    E-mail address:
    Direccion de correo electronico:

    Last Educational Institute

    Name:

    Ultimo Instituto Educacional

    Type of Program:

    Profession

    Position:

    Profesion

    Company:

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection


    Language Proficiency
    La Competencia Linguistica

    R&J DETAILS
    Detalles de R&J

    Current R&J Level and Number of


    Bouts officiated

    ) National
    Since:
    Referee: (

    Anivel de R&J y numero de


    combates oficiado

    ) bouts / Judge: (

    ) bouts

    ) bouts / Judge: (

    ) bouts

    ) bouts / Judge: (

    ) bouts

    ) bouts / Judge: (

    ) bouts

    AIBA 1-Star
    Since:
    Referee: (

    AIBA 2-Star
    Since:
    Referee: (

    AIBA 3-Star
    Since:
    Referee: (

    Professional R&J
    Since:

    List the total number of Bouts


    officiated from the beginning of
    your career

    Referee: (

    ) bouts / Judge: (

    ) bouts

    Referee: (

    ) bouts / Judge: (

    ) bouts

    Since:

    Anote el nmero total de combates


    oficiada desde el comienzo de su
    carrera
    What is the Date of your first

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection


    Certification as a Referee and
    Judge (local level)
    Cul es la fecha de su primera
    certificacin como rbitro y juez (a
    nivel local)
    Awards and Recognitions
    Premios y Reconocimientos

    1-STAR:
    National R&J applying for 1-Star
    course, please list the last 5
    National tournaments participated
    in as R&J:
    1-Estrella
    R&J Nacional aplicando para curso
    de 1-Estrella, indique los ltimos 5

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection


    torneos nacionales participado como
    R&J:

    Control Test:
    1-Star, 2-Star or 3-Star applying for
    control test, please list the last 5
    International Tournament or
    Professional Bouts participated in
    as R&J:

    Prueba de Control:
    1-Estrella, 2-Estrella o 3-Estrella
    aplicando para prueba de control,
    indique el ultimo 5 Torneo
    Internacional o peleas profesionales
    participado como R&J:

    Date of Last Control Test


    Fecha de ultimo examin de Control

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection

    Date of Last Medical Check


    Certification
    Fecha de ultimo certificacion medico

    ADDITIONAL COMMENTS
    COMENTARIOS ADICIONALES

    International Boxing Association

    AIBA REFEREES & JUDGES Data Collection

    Thank you for your input!


    Please send completed questionnaire electronically to the AIBA Sports Department; to
    the attention of David Llaurado: david.llaurado@aiba.org or fax to +41 321 27 72

    Merci pour votre aide !


    Remplir le questionnaire lectroniquement au Dpartement des Sports de AIBA
    lattention de David Llaurado: david.llaurado@aiba.org ou par fax au +41 21 321 27 72

    De antemano, gracias por su ayuda !


    Por favor complete este formulario electrnicamente y envelo por correo electrnico
    a nuestro Departamento de Deportes : David Llaurado: david.llaurado@aiba.org por fax
    al +41 21 321 27 72

    International Boxing Association

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