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REGISTRATION FORM FOR NEW ATHLETE

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


LATIN ALPHABET)

1. Name (according to the athlete’s passport)

Family name: _____GINI______________________________________

Given name: ______FLORENCIA________________________________

2. Gender (F/M): __F__

3. Date of birth (day/month/year): _06/10/1997______

4. Sport Nationality: _URUGUAYA_______________

5. Nationality (in case it is different from Sport nationality): _URUGUAYA_______________

6. Photo (only of the face of the athlete)

7. Passport copy

8. Contact Details & SMS Setup

- phone number (country code+ number): __+598 94 024 734__________

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

- e-mail: ____ginimanuela@gmail.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: __15/12/2022_____

Athlete Signature: ___________________

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