NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 1/6

Nomination Form

Preliminary: 31st October Final: 24th November Last day to cancel the booked hotel rooms: 1st December‘14

SUBRATA CLASSIC OPEN WORLDAn Open Invitation International Meet for Unequipped Powerlifting, Benchpress & Deadlift Championships

from 16 th December to 21 st December,2014.

The preliminary and final nomination forms must be sent to:

Original: Meet Director: and Bhaskar Mitra, Hony. Genl. Secretary, Indian Powerlifting FederationE-mail: [email protected] Mobilephone: +91-94307-20988, +91-98108-59374Web Page : indianpowerliftingfederation.com

Correspondence: Bhaskar Mitra, e-mail : [email protected]

Accommodation transport: Bhaskar Mitra, e-mail : [email protected]

Copy: P.J. Joseph ( [email protected] )

Submitted by National Powerlifting Federation/Association

Submitting officer: Title: Chairperson Date:Teammanager : Coach :

Referee 1: Cat: Available for categories:Referee 2: Cat: Available for categories:Referee 3: Cat: Available for categories:Referee 4: Cat: Available for categories:

Nominations -- Men’s OpenClass Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Men’s Junior

Class Family Name First Name Birthday BP

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 2/6

Reserve lifters, max. 5 per team

Nominations -- Men’s Sub -Junior

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Men’s Masters 1

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Men’s Masters 2

Class Family Name First Name Birthday BP

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 3/6

Reserve lifters, max. 5 per team

Nominations -- Men’s Masters 3

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Men’s Ma sters 4Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Women’s Open

Class Family Name First Name Birthday BP

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 4/6

Reserve lifters, max. 5 per team

Nominations -- Women’s Junior

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Women’s Sub -Junior

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Women’s Masters 1

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Women’s Masters 2

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 5/6

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Nominations -- Women’s Masters 3

Class Family Name First Name Birthday BP

Reserve lifters, max. 5 per team

Address for contact:

Name: Street: Zipcode:City: Country: Phone:ax: E-Mail:

8/10/2019 NOMINATION_FORM_OF_SUBRATA_CLASSIC International Powerlifting, Benchpress and Deadlift Competition 2014 INDIA

http://slidepdf.com/reader/full/nominationformofsubrataclassic-international-powerlifting-benchpress-and 6/6

INDIAN POWERLIFTING FEDERATIONBhaskar Mitra, E-mail: [email protected]

Phone: +91-94307-20988

Visa Support Form

Full names of athletes Birth Day Passport Number Expiration Date

Full names of coaches Birth Day Passport Number Expiration Date