Umpire Registration - Qatar Padel

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FIRST NAME

LAST NAME

E-MAIL ADDRESS

NATIONALITY

CERTIFICATION

SHOES

WORK RECORD

Attach extra paper if needed.

You are expected to be fully available throughout the whole period.
> Qualifying - March 26 -27, 2022,
> Main Draw - March 28 - April 02, 2022
Please return the application before March 08, 2022.

NAME (Same as in the passport)

NATIONALIT

ADDRESS (House No., Street, City, Country)

SEX

Male Female

DATE OF BIRTH: (DD/MM/YY)

PLACE OF BIRTH

MARITAL STATUS

OCCUPATION

CONTACT NUMBER(s):

MOBILE

OFFICE

HOME

PASSPORT NO.

DATE OF ISSUE (DD/MM/YY)

EXPIRY DATE (DD/MM/YY)

PLACE OF ISSUE

PASSPORT COPY (Optional)

Have you been vaccinated against Covid-19?

YES NO

Name of Covid-19 Vaccine (e.g Pfizer, Moderna..)

Number of doses received

VACCINSTION CERTIFICATE (Optional)

Have you been in Qatar before?

YES NO

If YES, when was your last departure date?