Athlete Declaration Form

IBTF Athlete Declaration Form

(Note: This form is ONLY for athletes who are NOT naturalized citizens in the country where they presently reside.)

First Name and Surname (please write in english and capitalise surname):

am a naturalised citizen of

Insert Name of Country

Please upload a copy of your passport:

Age:

Date of birth:

Day

Month

Year

I am presently residing in the following country:

From (insert year):

to (year or state permanent if you are there permanently):

Please provide proof of residency:

I declare that I will only compete for the nation of:

for the following 4 year period (write year to year period):

Athlete Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

(Note: a digital signature is accepted if the box below is checked)

Important - by submitting my digital signature under penalties of perjury. I certify that:

Parent or Guardian Signature:

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

(Note: a digital signature is accepted if the box below is checked)

Important - by submitting my digital signature under penalties of perjury. I certify that: