HIPPO 2022

10th INTERNATIONAL OLYMPIAD

IN ENGLISH LANGUAGE
Confirmation Form World Finals Rome, Italy
29th – 30th September 2022

Finalist data (student)

Name and Surname:

DATE OF BIRTH:
(DD.MM.YYYY)

GENDER (M/F)

HOME ADDRESS:
(street, town/city, postal code,
country)

MOBILE PHONE:

EMAIL ADDRESS:

PASSPORT NUMBER:

Accompanying teacher (name,

surname)
Other

Vaccinated against Yes/No

Covid-19
Vaccine type

1st dose date

2nd dose date
3rd dose date

* please fill in all the fields