PTT-WC-Gwangju-2010-Wild-Card-requests

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					                                                PARA TABLE TENNIS WORLD CHAMPIONSHIPS
                                                   GWANGJU - KOREA -OCTOBER 2010
                                            ITTF PTT Wild Cards / Team Target Player - Requests

                         There is no limitation in the number of requests ! - make copies if needed.

         Country :                                                                    Code :

  PASSEPORT NAME                          FIRST NAME                   Birthdate      Gender      Class      Rank place   Points

Request's motivation :




  PASSEPORT NAME                          FIRST NAME                   Birthdate      Gender      Class      Rank place   Points

Request's motivation :




The selections will been discussed during the next ITTF PTT Selection Committee meeting on March 6-8, 2010.
To be return to the Selection Officer no later than FEBRUARY 15, 2006
E-mail : selection.officer@ipttc.org - nico.verspeelt@skynet.be

NTTA Representative                     Name :                                                            Stamp

Date :                                  Signature :

				
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