LOCATION FORM

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Date : ATHLETE LOCATION FORM FINA UNANNOUNCED OUT-OF-COMPETITION TESTING PROGRAMME Please fill in the form and return to: FINA OFFICE Avenue de l’Avant-Poste, 4 1005 Lausanne, Switzerland www.fina.org Discipline:  Tel: +41-21-310 47 10 Fax: +41-21-310 18 97 email: dcwhereabouts@fina.org  SW SYN  DV  OWS  WP ATHLETE INFORMATION Nationality: First Name: (H) HOME ADDRESS Street: Postal code: Country: Phone : (area code/number) Alternate Contact: Sex: Club / Team: Last Name: Town: Fax : (area code/number) First and Last Name: Phone: (area code/number) PERMANENT TRAINING SCHEDULE (X). Training Place 1 Pool’s Name & Address: DAY AM PM Monday Tuesday Training Time (From-To) Wednesday Thursday Friday Saturday Sunday Periods when you train according to the above mentioned, should be filled in with an X on the Training Schedule (Y). Training Place 2 Pool’s Name & Address: DAY AM PM Monday Tuesday Training Time (From-To) Wednesday Thursday Friday Saturday Sunday Periods when you train according to the above mentioned, should be filled in with an Y on the Training Schedule Page 1 TRAINING SCHEDULE Last name: First name: FINA OFFICE Avenue de l’Avant-Poste, 4 1005 Lausanne, Switzerland Fax: +41-21-310 18 97 / email: dcwhereabouts@fina.org SWIMMER’S ITINERARY/INFORMATION (A,B,C,D: Temporary training address, E: Competition X,Y: Permanent training address, H: Home adress) NB: As per WADA International Standards, clause 11.3, athlete in a Registered Testing Pool is also required to specify in his/her Whereabouts Filing, for each day in the forthcoming quarter, one specific 60-minute time slot where he/she will be available at a specified location for Testing. Please use the 24-h time notation system (e.g.: 19:00) Month January 2009 Location from 60-min slot Location 60-min slot Location 60-min slot 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 to - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - February 2009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - March 2009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A. Temporary Living Address B. Temporary Living Address C. Temporary Living Address D. Temporary Living Address Temporary Training Facility Temporary Training Facility Temporary Training Facility Temporary Training Facility Temporary Training Times AM PM AM Temporary Training Times PM AM Temporary Training Times PM AM Temporary Training Times PM - COMPETITION SCHEDULE E. Competition City Country Date (From – to)

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