ENTRY FORM

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Federation Equestre Internationale

2014 Standard Entry Form/Qualification form

Event Name:
Date:
Format:	CCI(long) / CIC(short)	Level	1(one star) 2(two star) 3(three star) 4(four star)
Status:	ChampionshipGames CCIO(long)/CICO(short)

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ATHLETE:(See separate sheet for qualifications)

Full Name:	Mr/Mrs/Miss
FEI Reg No:
Permanent Address:


Country:		Post/Zip Code:
Tel No:		Fax No:
Mobile No:		Email Address:
Nationality:		Date of Birth:
Country of Residence:		(for tax purposes)
Contact Address:
(if different from above)
Country:		Post/Zip Code:
Tel No:		Fax No:
Mobile No:		Email Address:

HORSE: (See separate sheet for qualifications)

Name:

FEI Reg No: Year of Birth:

I certify that the above information is correct and that if the entry is accepted, I will abide by the FEI Rules and Regulations and by the conditions of the Schedule of the Competition.

Signed: Date:

(Athlete)

National Federation Approval:

By signing the below, the NF of the athlete mentioned on this entry form confirms that the athlete and the horse (s) are duly qualified as per attached qualification form or competent to compete (CCI*, CIC*, CCIO*) for the event as per all applicable rules.

Name of NF:

Signature of NF Representative:

Stamp of the NF:

MINIMUM ELIGIBILITY REQUIREMENTS FOR ATHLETES AND HORSES

This form must be completed and returned with Entry Form for all competitions above 1 star level

HORSE Name……………………………………………… FEI Registration No …………………………

Minimum Eligibility Requirements as specified under Art 517

Type of Event Level Name of event Date Athlete Dressage % XC Time Pen. XC Jump Pen. SJ Jumping Pen. Final Placing

ATHLETE Name ……………………………………………… FEI Registration No ………………………..

(need only be completed if different to Horse qualification above)

Minimum Eligibility Requirements as specified under Art 517

Type Event Level Name of event Date Horse Dressage % XC Time Pen. XC Jump Pen. SJ Jumping Pen. Final Placing

Signature: Athlete . NF

(Signed) ‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑ (Signed) ‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑

Annex: Entry Details (specific to each Event and individual Events may add their own items)

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