XXIV Universiade 2007 Bangkok, Thailand Organising Committee Universiade Bangkok 328 Si Ayutthaya Road, Ratchatewi, Bangkok 10400, THAILAND Tel: 66 2610 5499 Fax: 66 2610 5485 – 87 Email:
[email protected] Internet: www.bangkok2007.com
Individual Entry Form Country
I 23
UBOC Officials
Country Code Last Name
First Name
Roman Alphabet
Photo M
Sex
Nationality Date of Birth
F
Place of Birth dd
mm
yyyy
ID Number
Expire Date dd
mm
yyyy
Organization/University City
Zip Code
Country
Phone
Fax
Email
Supreme Board Member
Executive Office of the UBOC
Organizing Committee Member
The UBOC Staff
Committee Member
Volunteer
UBOC Honorary Member/Guest
Observer
Other Guest/Sponsor
I will be accompanied by
Other function not listed above Function
ORGANIZING COMMITTEE
Title
Contact Person Mr/Mrs. ………………………….…............... Tel. ……………...……… Email …......….……………………. Date /
/
Applicant’s Signature .
Date /
/
Name and Signature of the Committee Chairman/UBOC Executive Director .
For UBOC Category
V M AD
Village
Seats
R S T U Z
Press Center
O
Date /
/
I
AD
AD
Access Code
Opening & Closing Ceremonies
R S T U Z
AD
0 1 2 3 4 5 6 7 AD
UBOC Executive Director Approval .
Entry to be sent back no later than 30/05/2007. One (1) copy must be sent to the Kasetsart University. Please Keep a copy for your own records. No copies to the FISU Secretariat.