This form must be completed and signed by the NF of the citizenship country of the applying athlete

Rider Application

to compete in the

FEI WC Jumping TM SEA League

  

Full Name               :

     

Rider's Photo

Email :

 

Address:

 

Address:

 

Telephone /Fax:

 

Date of Birth           :

DD

MM   

       YYYY

Citizenship:

 

Passport Number:

 

FEI Rider Registration No:

 

If the above is non SEA citizen but resides in South East Asia, please provide the following details:

Country of residence:

 

Number of year living in this country:

                                YEAR(S)

Has the above represented his/her country in equestrian event

YES   /     NO

(if yes, please give details of event and dates)

 

 

 

 

 

Athlete’s Name:

Athlete's Signature:

Today's Date:

 

Parent/Guardian Name:

Parent/Guardian Signature
(if Rider under 18)

Today's Date:

 

NF Representative Name:

NF Representative Signature:

Today's Date:

 

Please, return this page to:
 FEI World Cup Jumping TM - SEA League, Block Tengki, Desa Grogol Kec. Limo,Depok, 16512
Indonesia, Tel: +62 21 754 7024/5, Fax: +62 21 754 7026

Or email as attachement to info@seawcjumping.com