Sunday, February 28, 2016

Application Form

 1st  Time Entry
No. of frames
למילוי על ידי הנציג                                                       TO BE FILLED BY EXHIBITOR
שם פרטי                         First Name                           
 שם משפחה                      Surname                                                                                                                                      
כינוי          Pseudonym                                                              
ארץ          Country
כתובת                                                                                                            Address
טל:                                                                                                                                                          Tel:
פקס:                                                                                                                                                       Fax:
דוא"ל:                                                                                                                                              E-mail:
שם האוסף   Title of the exhibit                                                                                                
תעודות כלולות                                                                                              Certificates included
כמות מסגרות מבוקשת         
No. of frames applied for 
שם אוסף קודם Previous Tittle                                                                
תיאור קצר של האוסף  Short description of the  exhibit                                                                  
מדור מבוקש                        Traditional          
Postal History                Competition Class
ספרות – תאריך פרסום:
Literature- Publication date
גודל דף       Sheet size   
מדליה                 שם התערוכה                                          המדליה  הושגה בתערוכה המוכרת על ידי פ.י.פ
Award               Name of Exhibition   Award received at FIP or Continental Exhibition              
מדליה                    שם התערוכה                                                                       המדליה הושגה התערוכה לאומית
Award received at national Exhibition                                       Name of Exhibition                Award
מקובלים עלי הכללים המפורטים בתקנון התערוכה
The undersigned confirms acceptance of all relevant FIP regulations and the
special rules  applying to Jerusalem 2016
תאריך Date                                                                                          חתימה        Signature
--------------------                                                                          -------------------------
Remarks of the Commissioner:
I confirm that the above information is correct
National Commissioner _______________________                     Signature: ___________________
Date: _____________

No comments:

Post a Comment