Application for technical assistance

National Sambo Federation details

Federation name:

Address:

Email:

Website:

Contact name and details:

Occupation in the federation:

Technical assistance

Mats Sport Sambo uniforms Combat Sambo gear

Quantity:

Motivation of the request (Please explain the reason why you request technical assistance)

Delivery details

Address:

Contact person:

Email:

Tel.:

Address of warehouse:

Duty exemption documents (obtained or not): yes no

(If duty exemption documents were received, please provide FIAS with the scan copy).

Purpose of use:

Training Competition

Additional information

Number of sambo clubs in a country:

Number of sambists in a country:

• Sport Sambo (Women):• Sport Sambo (Men):• Combat Sambo:• Juniors:• Youth:• Cadets:

Number of sambo mats in a country:

I, the undersigned, agree that all the information provided by me in the present application is authentic and factually accurate.

Printed name:

Occupation in an NSF:

Date:

Signature:

The duly completed applications should be sent to the following FIAS email address: tech_assistance@sambo-fias.com.