· web view- the details must be filled in english on this given form. for doping control, general...
TRANSCRIPT
Declaration for Importation of MedicationFor Dubai 2019 world Para Athletics Championship
984026 Name of Country 984026 Name of Team Leader 984026 Name of Chief Physician 984026 Phone 984026 Address 984026 E-mail
Category
Name of Nationally Authorize
dMedicatio
n
Main Ingredient for
Medicationpiecebox
Quantity
doping Control
GeneralMedicatio
nNarcotic
psychotropic
Drugs Non
Controlled
Drugs
Controlled Drugs
prohibited
Drugs
Drugs prohibited
inCompetitio
n
Drugs prohibited
inparticular
sport
I hereby declare the above medication for our team to be imported for the Dubai 2019 World Para Athletics Championships
Dateddmmyyyy Chief Physician Name SignatureNote- The details must be filled in English on this given form For Doping control General Medication Narcotics and psychotropic Drugs
(Yellow Background) please place a in the relative box and if more space is needed please feel free to use additional forms accordingly
- Please fill the category box as injection pill spray non-medication etc Doping control must be filled in accordance to the WADA 2019 prohibited list
World Para Athletics Championship-Dubai 2019 Tel +971 4 2988205Address AlQusais1 Behind Stadium Metro Station Fax +971 4 298 8459POBox 20990 Dubai UAE Email medicaldxb2019dcdorgae
Caution The Form must be submit by 1st Oct 2019 and the left over drugs must be re-exported out from Dubai directly after the completion of the GamesSubmit to
World Para Athletics Championship-Dubai 2019 Tel +971 4 2988205Address AlQusais1 Behind Stadium Metro Station Fax +971 4 298 8459POBox 20990 Dubai UAE Email medicaldxb2019dcdorgae
Caution The Form must be submit by 1st Oct 2019 and the left over drugs must be re-exported out from Dubai directly after the completion of the GamesSubmit to
World Para Athletics Championship-Dubai 2019 Tel +971 4 2988205Address AlQusais1 Behind Stadium Metro Station Fax +971 4 298 8459POBox 20990 Dubai UAE Email medicaldxb2019dcdorgae