application form - uniada 2019uniada.org/uniada 2019 - application form.docx · web viewapplication...

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

GENERAL INFORMATION

University / Faculty / College Name

Address

City and Postal Code

Country

Contact PersonFull Name and Work Position

Contact Email

Contact Phone +

Total Number of People in Your Delegation

Chosen PackOnly participation fee, hotel 3*,

hotel 4*

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

DELEGATION LIST

Sport No. First Name Last Name Email Passport

No.

FUTSALMen

123456789

101112

FUTSALWomen

123456789

101112

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

Sport No. First Name Last Name Email Passport

No.

BASKETBALL

Men

123456789

101112

BASKETBALL

Women

123456789

101112

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

Sport No. First Name Last Name Email Passport

No.

VOLLEYBALL

Men

123456789

101112

VOLLEYBALL

Women

123456789

101112

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

Sport No. First Name Last Name Email Passport

No.

E-SPORTDota 2

12345678

Sport No. First Name Last Name Email Passport

No.

E-SPORTLeague of Legends

12345678

APPLICATION FORM

UNIADA.ORG APPLY@UNIADA.ORG

Coaches / Staff / Guests

No. First Name Last Name Email Passport

No.

123456789

101112131415