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BELGIAN RESERVE OPEN MILITARY SKILLS - 10 & 11 May 2012 – CRC& ELSENBORN

Country : …………………………………………..…….…………
Kring/Cercle/Einheit/Group:…………………………………...................... Team name : :…………..………..…….…………
Ploeg/Equipe/Mannschaft/Team 1
NAAM & VOORNAAM
NOM & PRENOM
NAME & VORNAME
NAME & FIRST NAME

GRAAD
GRADE
DIENSTGRAD
RANK

ADRES
ADRESSE
ADRES
ADDRESS

LAND
PAYS
STAATSANG.
NATIONALITY

STAMNR
N° MATC
Pers. Kenziffer
SERVICE N°

SEX

1. ..…….………………………………………………………………………………………………………………………………….…
2. ……………………………………………………………………………………………………………………………………………
3. ……………………………………………………………………………………………………………………………………………
4. ……………………………………………………………………………………………………………………………………………
Begeleider/ Accompagnateur/ Begeleiter/ Companion

5. ……………………………………………………………………………………………………….…………………………………...

Ploeg/Equipe/Mannschaft/Team 2
NAAM & VOORNAAM
NOM & PRENOM
NAME & VORNAME
NAME & FIRST NAME

GRAAD
GRADE
DIENSTGRAD
RANK

ADRES
ADRESSE
ADRES
ADDRESS

LAND
PAYS
STAATSANG.
NATIONALITY

STAMNR
N° MATC
Pers. Kenziffer
SERVICE N°

SEX

1. …….………………………………………………………………………………………………………………………………….…
2. ……………………………………………………………………………………………………………………………………………
3. ……………………………………………………………………………………………………………………………………………
4. ……………………………………………………………………………………………………………………………………………
Begeleider/ Accompagnateur/ Begeleiter/ Companion

5. ……………………………………………………………………………………………………….…………………………………...
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MILITARY CERTIFICATION FORM
TO BE RETURNED BEFORE

21 / 03 /2012.

TO:

URNSOR
1MP (R ) Yves VANDENBERGHE
Rue des Petits Carmes, 24 boîte 2
B - 1000 BRUXELLES (BELGIUM).

PHONE… + 32 476 87 85 93.
FAX … + 32 2 501 23 36.
E-MAIL…knuroo-urnsor@skynet.be

It is hereby certified that the reserve officers, N.C.O.’s, corporals and soldiers stated in annex, will be on active duty, while taking part in INTERNATIONAL
MEETING “Belgian Reserve Open Military Skills” as from 08 / 09 / 2011 until 09 / 09 / 2011 in KLEINE BROGEL ( BELGIUM ).
NAME & FIRST NAME
NAAM & VOORNAAM
NOM & PRENOM
NAME & VORNAME

RANK
GRAAD
GRADE
DIENSTGRAD

ADDRESS
ADRES
ADRESSE
ADRES

NATIONALITY
LAND
PAYS
NATIONALITÄT

MILITARY AUTHORITY1
Name :

Date :

Seal :

Grade :

Signature :

Address :

Unit :
1

E-mail :

Must be member of the regular forces

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SERVICE N°
STAMNR
N° MATR
Pers. Kenziffer

SEX
M/F