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PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

May 08, 2018

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Page 1: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd
Page 2: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

PSAT – Junior World Pencak Silat Championship 2018 Technical Handbook Page 2 of 26

Page 3: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

TECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018

April 23rd to 29th 2018

SONGKHLA, THAILAND

PSAT – Junior World Pencak Silat Championship 2018 Technical Handbook Page 3 of 26

Page 4: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

CONTENTS Messages Page (i) Foreword Speech From President of International Pencak Silat Federation ……..……..5

(ii) Welcome Remarks From President of Pencak Silat Association of Thailand…………...6

(iii) About Pencak Silat Association of Thailand ....................................................................7

(iv) About President of Pencak Silat Association of Thailand ..................…..……….……...8

(v) Concept Paper ………………………………………………………………..….…..…..9 - 12

(vi) Rules & Regulation ……………………………………………………………………..13 - 18

(vii) Emblem ………………………………………………………………………………....19

(viii) Annex ‘A” Daily Program …………………………………………………………….. 20 - 21

(ix) Form – Form ………………………………………………………………………...… 22 - 25

(x) Contact of Officials ………………………………………………………………….....26

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Page 5: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

Foreword Speech From President of International Pencak Silat Federation (PERSILAT)

Mr. Prabowo Subianto

The objective of organizing JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018

is mainly to gather all the Silat participants from all around the word and let them compete

competitively while representing their own country.

After the previous management of Pencak Silat Association of Thailand hosted the

16th PENCAK SILAT WORLD CHAMPIONSHIP 2015 in Phuket ,Thailand and now with the

new line up of the management I would like to convey a heartiest congratulation to Pencak

Silat Association of Thailand (PSAT) and the organizing committee for the spirit to take up and

host JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 which will be held in Songkhla

Rajabhat University Songkhla, Thailand.

Songkhla is one of the southern provinces of Thailand. In the north of the province

is Songkhla Lake, the largest natural lake in Thailand. Despite being smaller than the neighboring

city Hat Yai, Songkhla is the capital of Songkhla Province as well as the Mueang Songkhla

district (Songkhla town district). Due to its location at the opening of Songkhla Lake to the Gulf

of Thailand, Songkhla is a fishing town and also an important harbour. It is the major seaport

on the east side of the Isthmus of Kra.

As this is another platform to promote the sport of Pencak Silat to the world, the association

is making a commendable moves and I believe the world is looking forward to the championship.

I wish to thanks Pencak Silat Association of Thailand for taking a step and being pro-active towards

the development of the sport in and hosting it in a humble island. Hopefully, Pencak Silat

Association of Thailand will set an example to all other Pencak Silat Association and federation

in the world to inspire them to organize more sporting events in order to promote the sport and

bringing Pencak Silat to another level in the world.

Lastly I would like to extend a very warm welcome to all the participants and teams.

The camaraderie and relationship, as well as collaborations you formed here will help bond the

fraternity of Pencak Silat in the world. I wish all participants the best of luck and may the best

country win!

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Page 7: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

ABOUT PENCAK SILAT ASSOCIATION of THAILAND

PSAT OBJECTIVES

1. To promote & arrange domestic Pencak Silat activity & competition both amateur & professional category

2. To control standard of Pencak Silat competition& tournament arrangement that is set by the Pencak Silat Federation and Association.

3. To develop Pencak Silat Association officer & athlete to have the potential and relevant knowledge.

4. To coordinate with Sport Authority of Thailand, relevant private and government organization both domestic and international for signing agreement or activity arrangement.

5. To urge local Pencak Silat club to be created in each province in the country.

6. To support local club about the important factors of facility that specify in PSAT regulation.

7. To promote democracy system and campaign against political corruption by not providing fund to any political party.

PSAT VISION / POLICE 1. Clarity = Administration of Pencak Silat Association of Thailand should be clear and explicit.

The association must strictly adhere to the Thai government, rules & regulations.

2. Capability = The association have to train Pencak Silat athletes to be national effective athletes.

3. Coordination = The association should have a good relationship with the other organizations both domestic and international.

4. Motivation = The association have to make athletes have the confidence and also to stimulate them to be winner in a competition.

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Page 8: PSAT – Junior World Pencak Silat Championship 2018indianpencaksilat.org/international_event/Handbook.JWC.pdfTECHNICAL HANDBOOK JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 April 23rd

ABOUT PRESIDENT of PENCAK SILAT ASSOCIATION of THAILAND

Mr. Panut Uthairat was born on 12 February 1956 in Nong Chik District, Pattani Province. He is the son of the Mr. and Mrs. Sansern Uthairat. He graduated with a bachelor's degree in Political Science from Thammasat University and the master's degree in Public Administration from the National Institute of Development Administration along with Honorary Doctorate Degree in Political Science from Prince of Songkla University on September 29, 2016. Mr. Panut Uthairat started his career as a bureau deputy in Ranong District the province of Narathiwat. He is also a Deputy Chief of District Administration (Permanent Secretary) and the sheriff of Songkhla. Subsequently, it was transferred to the Office of the Permanent Secretary of the Interior Head of Songkhla province. Later, he was appointed Inspector General of the Department of Administration the Deputy Governor of Yala. He was also security consultant (level 10) and was appointed governor of Pattani Province Nakhon Sri Thammarat. He was a Vice Chairman of the Board of Directors of the Marketing Organization Board. In 2009, he was appointed Deputy Permanent Secretary of the Interior. Later, in 2011, the SOP was established as an agency under the Office of the Prime MinisterMr. Panu Utatarat was also Acting Secretary-General of the Executive Board in Deep South. He was selected to be the first SBS Secretary-General and was appointed as the advisor to the Prime Minister from October 11, 2011. Later in October 2012, he was appointed Deputy Permanent Secretary of the Interior and was an inspector of the Ministry of Interior. In June 2014, after the seizure of the governing power of the National Peace Corps he was appointed to serve as secretary general of the SBI. Mr. Panut Uthairat is currently a Special Representative of the Government of Thailand in Resolving Problems in Southern Border Provinces and also the Director of Islamic Bank of Thai-land. He was former Secretary-General of the Southern Border Provinces Administrative Center (SSO) and former prime minister's advisor. He also a former Deputy Permanent Secretary of the Interior and former Security Advisor (Policy and Plan Officer, 10th Chancellery), Office of the Permanent Secretary Ministry of Interior and the first secretary of the SAB in 2014 was appoint-ed a member of the National Legislative Assembly.

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CONCEPT PAPER

1. Name of Competition “JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018, SONGKHLA

THAILAND”

2. Organizer

Main Responsible Organizer

Pencak Silat Association of Thailand sanctioned

By International Pencak Silat Federation (PERSILAT)

Sport Authority of Thailand

Relevant Organizer Songkhla Province

Sport Authority of Thailand Songkhla Office

Pencak Silat Assemblies across Thailand

3. DATE of EVENT

23rd – 29th April 2018 23rd April - Arrival of Refree, Officials& Contingents

24th April - Registrations, Referees Refresher, Technical Meeting & Balloting,

Opening Ceremony, VIP Match

25th April - Qualifications Fighting

26th April - Qualifications Fighting

27thApril - Semi Final Fighting, Final Artistic

28th April - Final Fighting, Closing Ceremony

29th April - Contingents Departure

4. VENUE of EVENT Gymnasium Songkhla Rajabhat University, Songkhla Thailand

5. REGISTRATION, TECHNICAL MEETINGS & BALOTING Technical Meeting

Date : 24th April 2018

Time : 09.00 hours Thailand time

Venue : Songkhla Rajabhat, Songkhla Thailand

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6. INVITED COUNTRIES

1. Afghanistan 2. Australia 3. Austria 4. Bahrain 5. Bangladesh 6. Belgium 7. Bhutan 8. Brunei Darussalam 9. Cambodia 10. China 11. France 12. Germany 13. Hong Kong 14. India 15. Indonesia 16. Iran 17. Iraq 18. Japan 19. Jordan 20. Kazakhstan 21. Kuwait 22. Kyrgyzstan 23. Laos 24. Lebanon 25. Macau 26. Malaysia 27. Maldives 28. Mauritius 29. Mongolia

30. Myanmar 31. Nepal 32. Netherlands 33. Oman 34. Pakistan 35. Palestine 36. Philippines 37. Qatar 38. Russia 39. SaudiArabia 40. Singapore 41. South Arica 42. South Korea 43. SriLanka 44. Switzerland 45. Syria 46. Taiwan 47. Tajikistan 48. Thailand 49. Timor Leste 50. Turkmenistan 51. Turkey 52. UAE 53. United Kingdom 54. USA 55. Uzbekistan 56. Vietnam 57. Yemen

7. COMPETITION CATEGORY & ELIGIBILITY of AGE 14 – 17 YEARS OLD.

Athletes must not be less than 14 years old and not more than 17 years old (born between 2001 to 2004).

The Junior World Pencak Silat Championship 2018 has two competition categories: 1. Match 13 Weight Classes Male and 11 Weight Classes Female 2. Artistic 3 Categories, which is : Single, Double and Team for Male and Female

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All Tanding / Tunggal / Ganda / Regu categories can be participated by a persilat (contestant) as long as he/she meets the requirement.

8. REGISTRATION FEES

Participants must hold passport of their origin.

8.1 Accommodation, Meals & Internal Transportation fees : Athletes & Officials USD $40 Per person per day (Transportation, Accommodation & Meals)

8.2 Changes of participants name can be done during the registration.

8.3 “Entry by Number” to be submitted by participant country on 5th February 2018

at the address, fax or email stated below, by filling in and sending the Form in At-tachment : Form 'A'. Deadline for submission until@18:00 hours Thailand time

8.4 “Entry by Name” you can also visit www.thannam.net to fill in the form - entry by name, the system will only be open from February 20th to March 18th 2018. Deadline for submission of Entry by Name Forms (online) is until @ 23.59 hours Thailand time.

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Organizing Committee

Junior World Pencak Silat Championship 2018

Address : 15 Floor – Room #6 of Sport Authority of Thailand Building,

Huamark, Bangkapi Bangkok 10240

Fax : +662-170-9473

Mobile : +662-170-9472, +6695-516-8235

Facebook : @pencaksilatthailand.com

Website : www.pencaksilatthailand.com

E-mail : [email protected]

[email protected]

8.5 Registration, Balloting & Technical Meeting will be on 24th April 2018 in Songkhla, Thailand.

8.6 All contingents (except for referees and jurors) are to arrive on , 23rd April 2018.

8.7 All payments must be made on the last day of registration. No payment through bank account.

Total numbers of participants for each contingent comprises of :

Officials Team Manager = 1 Assistant Team Manager = 1 Coach = 3 Extra Officials with Functions Eg ; Masseuse, Sport Trainer, etc = 3 Athletes Match (Male & Female) = 24 Artistic (Male & Female) = 12 Total Participants per Country = 44

9. ATTACHED ARE REGISTRATION FORMS

Please refer to attachments Form ‘A’ , Form ‘B’ , Form ‘C’ , Form ‘D’

10. COMPETITIONS SCHEDULE Please refer to attachments Annex ‘A’

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RULES & REGULATIONS

Junior World Pencak Silat Championship 2018

The competition rules & regulations are complied with accordance set by the International

Pencak Silat federation (PERSILAT) version 3th – 30th August 2013. Should there be any unsettled

decision or problem arise which is not set in the PERSILAT rules & regulations competition

therefore the organizing committee have the right to finalized the decision. (Rules and Regulations

Version 2013 is attached as Annex B).

1. Registration &Weighing Registration, Technical Meeting & Balloting will be on Saturday, 24th April 2018 at 09.00

hours onwards in Thailand.

1. There will be “No” weighing-in during the registration. However, all participants must

have their medical check-up and weighing from their own country and hold the original

of medical certificate to be shown on registration day. Weighing will be processed

15 minutes before competition.

2. Changes of names and categories can be made during registration.

3. Participants have to re-weigh 15 minutes before the competition with standard Pencak

Silat attire without body protection and groin guard or other accessories if they failed to

meet the required weight they will be disqualified.

4. ID pass must be worn during registration and weighing.

Others relating to match rules :

Exceptions about PROTEST that occurred during the match. At Rules and Regulations

Article 8 : Arena and Competition Equipment; Sub article 2. The Arena Equipment; 2.14

Audio-visual recording instruments and the operator (this instrument is not a legitimate evi-

dence for decision of the winner of a competition)

EXCEPTION : At JUNIOR WORLD PENCAK SILAT CHAMPIONSHIP 2018 in SONGKHLA, THAILAND

this time using Video Reply.

This Video Reply can be used by Coach in protest during the match to the Chief Competition

(Chairman / Ketua Pertandingan). Where is the protest can be made 1 time in 1 round and

should only be done by the Coach (Companion of the Fighter)

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2. Artistic Weapons Contingents must forward the weapons form to the organizer (type, size & numbers of

weapons bringing into Thailand - as attached Form ‘C’) by 5th April 2018 on the stated

address in the form. For easy customer clearance upon arrival in Thailand.

All contingent must fill up the weapons form and forward to the organizer via email. The

organizer will make official letter to Airport Authority, Custom and Immigration.

Single Category 2.1. Long knife (Golok or Parang) measuring 30-40cm and width of between 2.5 cm to 4 cm.

2.2. Toya / Long Stick / Tembung made of rattan with the length of between 150 -180 cm

long and diameter of 2.5 – 3.5cm.

2.3. Long knife (Golok or Parang) is made of metal and blunt

Double Category 2.4. Besides the mentioned weapons of the same specification as in Single Category,

participants are allowed to use one (optional) more Nusantara weapons such as the keris,

pisau, celurit or a pair of trisula as stated in the book of International Pencak Silat

Competition Regulation. Weapons are to be inspected by the competition committee

before the competition starts.

2.5. The Team manager of participating countries must submit the Synopsis for Double

(Ganda) during the registration.

Team Category

2.6. REGU (Team) category is the category of Pencak Silat competition which is performed

by 3 (three) Persilat from the same team portraying their skills in a compulsory

movement correctly, accurately, firmly, complete with expression, synchronize and

compact with empty hands according to rules and regulations apply for Regu category.

3. Protest A request for the ‘Protest Form’ must be made within 10 minutes after result of the competi-

tion has been announced; and within the following 20 minutes, the completed form must be

returned to the Competition Secretary including the protest fee of USD$200 in cash.

Protest fee will be refunded to the Team Manager if the protest appeal is accepted and

approved by the Appeal Committee. However, should the protest appeal is unsuccessful, the

protest fee will beforfeited

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4. Referees & Jurors 4.1. The competitions will be conducted by PERSILAT referee & Juror holding the Interna-

tional Certificate or Individual Country Referee Certificate nominated by the respective

Silat Federation of each country.

4.2. Pencak Silat Association of Thailand (PSAT) will be responsible for the accommoda-

tion, meals & transportation in Thailand.

5. Arrival of Contingents 5.1. All participants MUST arrive in Thailand by Friday, 23rd

April 2018.

5.2. Contingents have to inform the organizer, detail so their arrivalla test by 5thApril 2018

and forward the arrival & departure forms (as attached Form ‘D’) through posting,

fax or email.

5.3. Liaison Officer (LO) will be attached to every contingent throughout the competition.

5.4. Participants who which to come earlier before 23rd April 2018 will have to pay

on different hotel rate and own expenses and transportation. The organizer will assist in

the reservation of hotel and transportation.

6. Departure of Contingents 6.1. All contingents have to check out from hotels on 29th

April 2018 by 12:00hours.

6.2. Transport will be provided from the hotel to Hat Yai Int’l Airport.

6.3. If any contingents wish to prolong their stay in Thailand and staying in the same

hotels, please inform the organizing committee in advance so that the committee can

make necessary arrangements. The contingents have to pay according to the rate of

intended hotels.

7. Transportation

The committee will provide transport for the following needs.

7.1. From the contingent arrival location to the hotel either at the time of arrival or time of

departure and also to competition venue.

7.2. For emergency such as taking someone to hospital, etc.

7.3. The committee will not serve any request for personal needs.

7.4. Thecommitteewillprovideinformationaboutpublictransportationforthosewho need it.

8. Accommodation

Accommodation will be prepared accordingly by the hosting country.

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9. Meals 9.1. All meals are ‘HALAL’.

9.2. All meals will be served in buffet or packet food & to be consumed in the hotel and

competition venue. The stipulated meals time are as follows:

Breakfast : 07:00 – 09:30 hours (Hotel)

Lunch : 12:00 – 13:00 hours (Competition Venue)

Dinner : 18:30 – 20:00 hours (Hotel)

9.3 Room service meals and any meals or drinks consume not in the stipulated meals hours

will be on personal account

10. Supporters Please note that all supporters are not eligible for the USD$40 per day participant fee.

They will have to pay a different amount.

11. Medical Services 11.1. Medical Team will be on duty throughout three events.

11.2. If participants need a further treatment in a hospital due to injury suffered during the

competition, the organizer will not bear the cost.

11.3. Participants who need the medical service must produce their ID card to the medical

officials.

11.4. Participants is to show the medical form ‘FormB’ before starting of each game.

12. Protocol Etiquette & Discipline The etiquette & discipline for attire during Junior World Pencak Silat Championship 2018

are as follows:

12.1. Opening Ceremony / Closing Ceremony

Official tracksuit or Standard Pencak Silat attire

12.2. Prize Presentation

Official tracksuit or Standard Pencak Silat attire

12.3. Competition

Match – Standard Pencak Silat attire

Artistic – According to Rules & Regulation of PERSILAT

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12.4. The discipline of ceremonies & competition are as follows:

12.4.1. Participants must come to every ceremony & event on time according to the

schedule set by the organizer.

12.4.2. Participants must perform good personal appearance with good attitude and

spirit of sportsmanship.

12.4.3. Participants should follow any ceremony orderly during it is taking place,

should not utter any noise which might disturb the so lemnity of the

ceremony.

12.4.4. Disciplinary action will be taken towards athletes with bad and attitude

problems.

12.4.5. No abusive and vulgarities language / words at all time

12.4.6. No indecent hand gestures and signs at all time (e.g middle finger, etc)

13. Medals & Trophies

13.1. Match Category

1st Place – Gold Medal, and Diploma for 1 person in each category

2nd Place – Silver Medal, and Diploma for 1 person in each category

3rd Place – Bronze Medal, and Diploma for 2 people in each category

13.2. Artistic Category

1st Place – Gold Medal, and Diploma for each category

2nd Place – Silver Medal, and Diploma for each category

3rd Place – Bronze Medal, and Diploma for each category

13.3. Best Athlete Award

1 Trophy for ‘Female Best Athlete’, and Diploma

1 Trophy for ‘Male Best Athlete’, and Diploma

The winners are based on this criteria:

- How many categories competed

- How many gold medal won?

- Good sportsmanship

- How many matches has to fight?

- How many knockouts

13.4. Best Referee Award

Trophy for ‘Best Referee’, and Diploma

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13.5. Trophies

There will be 3 Trophies to be won for the competition as stated below. The tro-

phiestobewonwillbaseonthemostGoldmedalswonandfollowedbySilver & Bronze med-

als, should there be a tie in the Gold medal or Silver Medal.

a) 1 Trophy - OVERALL CHAMPIONTROPHY

b) 1 Trophy - 1st RUNNER UPCHAMPION

c) 1 Trophy - 2nd RUNNER UPCHAMPION

14. General Matters 14.1. All participants for the Junior World Pencak Silat Championship 2018 will be given

an ID card.

14.2. The ID cards must be worn throughout the Championship.

15. Narcotics It is strictly prohibited to bring, consume or to distribute all kinds of drugs or its equivalents

in Thailand. Any participants caught or arrested by the local Police authority, violating the

laws will be dealt in accordance with the Court of Laws in Thailand. The committee will not

be able to help anyone who is involved in breaking the laws against narcotics enacted by

Thailand.

16. Doping The Organizing Committee will be conducting Doping to winners on the finals of Artistic and

Match categories by Doping Officers from Anti-Doping Thailand.

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EMBLEM

Logo Junior WC 2018

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DAILY PROGRAM -1

NO DATE / DAY TIME PROGRAM VENUE

1 23rd April '18Monday

12:00-20:00 hrsArrival of International Technical Officials,

Contingents, Refrees Hatjay Int'l Airport

07:00-09:00 hrs Breakfast Hotel

09:00-12:00 hrs Registration, Technical Meeting & Balooting

Hotel

12:00-14:00 hrs Lunch Break Hotel

14:00-16:00 hrs Opening Ceremony Gymnasium RSU

16:00-18:00 hrs VIP Match Gymnasium RSU19:00-21:30 hrs Dinner Break Hotel07:00-09:30 hrs Breakfast Hotel

10:00-12:00 hrs Qualification Gymnasium RSU

12:00-13:00 hrs Lunch Break Gymnasium RSU

13:00-17:00 hrs Qualification Gymnasium RSU

18:30-21:00 hrs Dinner Break Hotel07:00-09:30 hrs Breakfast Hotel

10:00-12:00 hrs Qualification Gymnasium RSU

12:00-13:00 hrs Lunch Break Gymnasium RSU

13:00-17:00 hrs Qualification Gymnasium RSU

18:30-21:00 hrs Dinner Break Hotel

2 24th April '18Tuesday

3 25th April '18Wednesday

4 26th April '18Thursday

ANNEX ‘A’

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DAILY PROGRAM -2

NO DATE / DAY TIME PROGRAM VENUE REMARKS

07:00-09:30 hrs Breakfast Hotel

10:00-12:00 hrs Semi Finals Competition Gymnasium RSU Match

Category12:00-13:00 hrs Lunch Break Gymnasium RSU

13:00-17:00 hrs Finals Competition Gymnasium RSU Artistic Category

18:30-21:00 hrs Dinner Break Hotel07:00-09:30 hrs Breakfast Hotel

10:00-12:00 hrs Finals Competition Gymnasium RSU Match Category

12:00-13:00 hrs Lunch Break Gymnasium RSU

13:00-19:00 hrsFinals Competition, VIP Match, Prize, Closing Ceremony

Gymnasium RSU Match Category

20:00-22:00 hrs Farewell Dinner Hotel

Contingents to reach at venue by 19:30 hrs

07:00-09:30 hrs Breakfast Hotel

06:00-18:00 hrs Teams DepartureGo to Hatjay Int'l

Airport

Bye..Bye..See You Next Time

7

6 28th April '18Saturday

27th April '18Friday

5

29th April '18Thursday

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Junior World Pencak Silat Championship 2018 Thailand 23rd – 29th April 2018

FORM - ENTRY BY NUMBER (to be submitted by 5th February 2018)

FORM ‘A’

COUNTRY : ………………………………….

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Junior World Pencak Silat Championship 2018 Thailand 23rd – 29th April 2018

Name of Athlete

Passport Number

DOCTOR’S CHECK LIST

* Tick (√) in the appropriate box

1. Pulse:

2. BloodPressure 3. Heart: Systolic (mmhg)

Diastolic (mmhg)

4. Lung: 5. Abdomen:

Notes: ________________________________________________________

I herewith confirm that this person: Does not have any illness, healthy and allowed to participate in this

tournament.

Have illness /illnesses of and allowed/ disallowed to participate the tournament.

Date: ______________ (Doctor’s Approval) Name : Stamp :

lllness Yes No 1. Asthma

2. Heart Illness 3. High Blood Pressure 4. Diabetes 5. Fit 6. Handicapped

FORM ‘B’

FORM - ATHLETE’S MEDICAL CHECK UP REPORT / DECLARATION

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Junior World Pencak Silat Championship 2018 Thailand 23rd – 29th April 2018

FORM - WEAPONS FORM (to be submitted by 5th April 2018)

No Type / Name of Weapons Quantity Size (Length, width, weight)

Remarks / Purpose

Name / Designation / Date

Signature / Federation Stamp

FORM ‘C’

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Junior World Pencak Silat Championship 2018 Thailand

23rd – 29th April 2018

FORM – ARRIVAL & DEPARTURE (to be submitted by 5th April 2018) Country / State

Name of Team Leader

Total Number of Participants

(Athletes & Officials)

Email

Contact Details

Facsimile

ARRIVAL DETAILS (TO THAILAND)

DEPARTURE DETAILS (FROM THAILAND

Please mark X in the box Please mark X in the box By Air By Train By Bus By Ferry By Air By Train By Bus By Ferry

Departure From Departure From Arrival Date Arrival Date Estimated Arrival Time Estimated Arrival Time Flight # Flight # Airline Airline Location Location Estimated Baggage Details Quantity Average weight (kg)

each baggage Description

Standard Baggage Over-sized Baggage

Name / Designation / Date

Signature / Federation Stamp

FORM ‘D’

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Approval of Technical Handbook

This Technical Handbook was approved by the International Pencak Silat Federation (PERSILAT) on December 15th 2017.

CONTACT OFFICIALS

1. Organizing Chairman : HP : Email : 2. Secretary General : HP : Email : 3. Office Manager : HP : Email : 4. Administrative Officer : HP :

Email :

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