FAI sporting license for Chinese Taipei
Application form
中華台北FAI運動證照申請書
中文姓名 Chinese Name:
First Name: Last Name:
性別Gender:Male / Female
出生年月日Date of Birth(Y/M/D):
出生地Place of Birth:
國籍Nationality:
Taiwan /National Passport no.:
地址Address:
居住地Country of Residence:
電子信箱E-mail address:
住家電話Phone (home)
公司電話Phone (office)
手提電話 Phone (mobile)
所屬分會/會藉編號: 中華民國 ______________________ 協會-_____________________
如遇緊急事故請與 _________________連絡,電話 : _______________________________
In case of emergency, please contact _____________Ilya Kats____________,
phone no. ___________________







