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: info@bangkok2007.com Internet: www.bangkok2007.com

Individual Entry Form

UBOC Officials I 23

Country Country Code

Last Name First Name

Roman Alphabet
Photo
Nationality Sex M F

Date of Birth 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
Opening & Closing
Category Seats R S T U Z AD Ceremonies R S T U Z AD

Village V M AD Press Center O I AD Access Code 0 1 2 3 4 5 6 7 AD

Date 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.