MATCH REGISTRATION FORM

4/F Unit B Strata 2000 Emerald Ave. Ortigas Center Pasig City
www.ppsa.org.ph

MATCH INFORMATION
MATCH DATE DATE APPLIED

MATCH TITLE

HOST CLUB AREA

VENUE

DISCIPLINE HANDGUN MINI RIFLE SHOTGUN Others ______________

LEVEL
Short Course

Medium Course

Long Course

No. of Stages

No. of Rounds

MATCH OFFICIAL
MATCH DIRECTOR
Contact Number

RANGE MASTER
Contact Number

STATS DIRECTOR

Contact Number

CONTACT PERSON
Contact Number

PPSA
VALIDATION DATE RECEIPT/ CHECK NUMBER AMOUNT VERIFIED BY:

Courses of Fire (COF) and other match details must be together with this form.
By Applying for PPSA / IPSC Sanctioning , the Host Gun Club (s) and Match Organizers hereby undertake
REQUIREMENTS
to fully implement and endorse all current and existing IPSC/PPSA Rules and Regulations and accept
CONFIRM SCHEDULE
without reservation and/or conditions that any deviation from IPSC /PPSA Rules and Regulations will
result in the withdrawal of IPSC/PPSA Match Santioning.
SANCTIONING FORM

COURSE OF FIRE
CONFORME:
PERMIT TO CONDUCT

INITIAL PAYMENT

Level 1 - Free
Gun Club President's Signature over Printed Name Level 2 - Php 10,000
Level 3 - Php 20,000

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 MATCH TITLE

REGISTRATION FEE
International
Civilian
Shooter

Lawman / Military
Others
Junior , ARO
( 50% of actual fee from
Level II & up )

LIST OF AWARDS (DISCIPLINE)__________________

Production Optics
CATEGORY Open Standard Production Classic Revolver Production Optics
Light

Aggregate / Division

Class A

Class B

Class C

Class D

Junior

Lady

Senior

Super Senior

Lawman /NALECC

Media /Celebrity

International

Range Officer

SANCTIONING COMMITTEE

Deputy Area Director NROI Area Coordinator

Area Director

MR. REYNALDO G. GANABAN

NROI Executive Director

MR. EDWIN B. LIM

IPSC Regional Director / President

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