NATIONAL OLYMPIC ACADEMY - NOMINATION FORM

NATIONAL OLYMPIC COMMITTEE - SRI LANKA - OFFICIAL WEB SITE

NATIONAL OLYMPIC ACADEMY 2006

Spectacular View

Entrance to the Ancient Olympia

Statue of God Zeus in the Olympia Museum


NOMINATION FORM

1.Full Name	.................................................................................................................

2.Name used	................................................................................................................

3.Date of Birth	................................................................................................................

4. Address ( private )	................................................................................................................

5.Contact Tel Nos	................................................................................................................

6.Name of University :	................................................................................................................
Faculty :	................................................................................................................
Year :	................................................................................................................

7.Participation in Sports :	................................................................................................................ ................................................................................................................ ................................................................................................................

8 Positions held in the University: ie.Captain etc	................................................................................................................ ................................................................................................................ ................................................................................................................

9.Special Achievements :	................................................................................................................ ................................................................................................................ ................................................................................................................

	Pls enclose your Passport size Photograph.

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AN EFUSION CREATION 2004 @ NOC