Nomination Form - 1st SEA OWS

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NOMINATION FORM

For Shortlist & Selection to the 1st South East Asian Open Water Swimming
Championship

Name:

Date of Birth: Age: Sex: M/F

Address:

Email: HP#

Affiliate / Club / School:

BEST PERFORMANCE:
POOL
Event Time Date / Place Championship
1500m
800m
400m

OPEN WATER (if any)


Event Time Date / Place Championship

Submitted by, Verified by,

………………………………………………….. ………………………………………………….
Name: Affiliate / Club / School
Designation:
Date:

Please return completed form to maysktan@yahoo.com & psdljq@gmail.com latest by 30 December 2022.

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