Return by 29 April 2005
to Badminton Australia
BADMINTON International Line Judge - Expression of Interest Form
For the Melbourne 2006 Commonwealth Games
1. Personal Details?
Mr Mrs Miss Ms Dr Other
Given Names
Surname or family
name
Street Number &
Name
Town / Suburb
State / Territory Postcode
Country
Work
Home Phone ( ) Phone ( )
Mobile
Email (if available)
Professional
Background
2. Qualifications – Line Judge
Qualifications Current Level (State, Nat, Int) Date of Qualification
3. Please provide details of your background or involvement in sport?
Please complete details of your Line Judging experience (most recent listed first)
Event Role Level Dates of
experience
Deaflympic Games Line Judge International January 05
TRIM:305751
Declaration
I hereby submit my expression of interest and declare that everything contained in this
EOI is a true and accurate record to the best of my knowledge.
I also understand that it is my responsibility to arrange and cover all associated travel
expenses to get to Melbourne for the 2006 Commonwealth Games.
Signature of Applicant:
Date:
National Sporting Organisation approval
We hereby support the nomination of (applicants name) ………………………………….
to be a Line Judge at the Melbourne 2006 Commonwealth Games.
Signature:
National Organisation:
Position held:
Date:
Please complete this form and return by 29 April 2005 to Badminton Australia:
Technical Officials EOI
Badminton Australia
15 / 8 Techno Park Drive
Williamstown Nth, VIC, Australia, 3016
TRIM:305751