Conseil international du sport militaire international miltary

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• Publié par: salonli
• Nombre de lectures: 175
• Langue: Français

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CONSEIL INTERNATIONAL DU SPORT MILITAIRE INTERNATIONAL MILTARY SPORTS CISM REQUEST FOR A CISM STAR OF SPORTS MERIT

Summarizing file concerning:

Rank: ……………… Surname: ……………………….. Given Name: …………………………..

Discipline: ............................………

A.Enumeration of results obtained from 19…... to... PARTICIPATION I N CITY OF THE # YEARCOUNTRY CHAMPIONSHIP INDIVIDUAL TEAM 1 2 3 4 5 6 7 8 9 B.Requested CISM Star of Sports Merit Bronze Star(2 x World Military Championship)  medal+bar(46€)  bar (8 ) Silver Star(4 x World Military Championship)  medal + bar (46€)  bar (8€) Gold Star(6 x World Military Championship)  medal+bar(46€)  bar (8 ) Double Gold Star Date (9 x World Military Championship)  medal + bar (46€)  bar (8€) :………………… Rank, name and Sign of the Chief of Delegation :………………………………………………………….. PS:CISM General Secretariat can only send the medals or/and bars after receiving the corresponding payment on the following Bank account : FORTISBANQUE – account number 210-0910136-37 (Swiftcode: GEBABEBB36A) IBANBE35 2100 9101 3637 Avenue Louise 200 – 1050 Brussels - Belgium