APPLICATION FOR AE UROPEAN RECORD by yOKtFBj

VIEWS: 0 PAGES: 4

									             APPLICATION
        FOR RATIFICATION OF A
          EUROPEAN RECORD

        FIELD EVENT
Please send the completed form at the soonest to:

                European Athletic Association
                Avenue Louis Ruchonnet 18
                1003 Lausanne
                Switzerland

Application is hereby made for a European Record  / Under 23 Years Record 
/ Junior Record , in support of which the following information is submitted:
(Please type or use block capitals)



Event                                                         Men / Women

Record claimed


Athlete´s:

full name

date of birth

Country

Nationality

Federation

Date of competition                                 time of event

Name of stadium


City                                                country
                            TECHNICAL MANAGER

I hereby certify, that the implement used in the record claimed has been
examined by me after the performance, and conforms with the relevant IAAF
Rule.
I further certify that the implement used was manufactured by:

                                        Model

and is available world-wide.

I also certify that the facilities used were in conformity with IAAF Rules.


(Name of Technical Manager)                         (Signature)




                                     JUDGES

We hereby certify, that the measurement stated opposite our respective
signatures is correct, as measured in accordance with the IAAF Rules.

We also certify, that the circle or runway, and the landing area, complied
with IAAF specifications:

                            m
(Distance or height)             (Name of Judge)                  (Signature)

                            m
(Distance or height)             (Name of Judge)                  (Signature)

                            m
(Distance or height)             (Name of Judge)                  (Signature)


                                 WIND GAUGE

Wind velocity in the direction of running                  m/sec


(Name of wind gauge operator)                       (Signature)




                                                                                2/4
                            DOPING CONTROL

I, the undersigned Doping Control Officer in charge of the doping control at
the meeting, hereby certify that a sample for a doping test was obtained
from the above athlete in accordance with the IAAF Rules, and in my
presence, and despatched to the following laboratory:



Date and Time of doping control


Name                                 Signature



                      RESULTS OF THE COMPETITION

The names of the three first placed competitors, and their performances,
were as follows:


1st:

2nd:

3rd:



                                  REFEREE

I hereby certify that all the information recorded on this form, concerning the
competition, is accurate, that the officials conducting the competition were
duly qualified, and that the appropriate IAAF and EAA Rules of Competition
were complied with.


Name

Signature                                Date




                                                                            3/4
    THE FOLLOWING MUST BE ENCLOSED WITH THIS APPLICATION

A copy of the relevant page(s) of the athlete’s passport indicating name and
date of birth (only for athletes u’23 and juniors)
The printed programme of the competition
The complete results of the event concerned
The doping control form
The report of the laboratory having analysed the sample of the above athlete


            RECOMMENDATION BY THE NATIONAL FEDERATION

The undersigned national Federation, under which jurisdiction the above
competition took place, hereby certifies that it is satisfied with the accuracy of
this application and recommends it for acceptance:


President

General Secretary

Name of national Federation                                 Date




                               EAA APPROVAL


   (President of EAA)          (Director General of EAA)           (Date)




                                                                               4/4

								
To top