REGISTRATION FORM FOR NEW ATHLETE

(PLEASE PROVIDE THE INFORMATION IN CAPITAL LETTERS OR IN PRINT ACCORDING TO THE LATIN
ALPHABET)

• Name (according to the athlete’s passport)

Family name: __________RAJIČ____________________________________

Given name: ___________KRIŽAN__________________________________

• Gender (F/M): __M__

• Date of birth (day/month/year): __20.12.1996.________

• Sport Nationality: _____CROATIAN________________

• Nationality (in case it is different from Sport nationality): _______________________

• Photo (only of the face of the athlete)

• Passport copy

• Contact Details & SMS Setup

- phone number (country code+ number): _______+385998548180__________________

- phone type (mobile, home, business): ______MOBILE_______________________

- e-mail: ____KRIZANRAJIC@YAHOO.COM________________________

• By ticking the box and signing this document I am giving my consent to the
IWF and the ITA to process my personal information for the purpose of my
ADAMS registration.

Date: ___________________

Athlete Signature: ___________________