doc - 2017 Goalball Referee E-Pass

GOALBALL OFFICIAL'S E-PASSPORT 2017
Official's data
Family Name
Given Name
Date of birth
Gender
Address
Country
Closest International
airport – name - City
Identifying 3 letters
Telephone
e-mail
Level at January
Level at December
Date of last clinic – Level
– Course Conductor
National association data
Name
Address
Country
e-mail
National referee's
coordinator name and
e-mail
Referees Coordinator e-mail: [email protected]
Tournaments information
TOURNAMENT 1
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 2
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
TOURNAMENT 3
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 4
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
TOURNAMENT 5
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 6
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
TOURNAMENT 7
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 8
Date of tournament
14-15/06/2014
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
X
TOURNAMENT 9
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 10
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
TOURNAMENT 11
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 12
International
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
National
TOURNAMENT 13
International
National
International
National
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
TOURNAMENT 14
Date of tournament
Name of tournament
Place of tournament
TD name and e-mail address
Number of matches as referee
Number of matches as table official
/ 10 sec timer
Names of other referees
Teams competing (name / country)
Referees Coordinator e-mail: [email protected]
To maintain IBSA Certification all Referees must:



pay a fee of Euros 20,00 for passport maintenance by 31 March of each year.
submit a validated “E-Pass” to the Referee’s Coordinator by 31st December of each
year.
([email protected])
record all games officiated during that year in the “E-Pass” (games must be played
under IBSA rules).
Level I Referees
Annually, Level I Referees must referee a minimum of 4 games at 2 different local or
international events (total 8 games).
Level II Referees
Annually, Level II Referees must referee a minimum of 3 games at 2 different local or
international events for a minimum total of 6 games and referee a minimum of 5 games at 1
international event (total 11 games).
Level III Referees
Annually, Level III Referees must referee a minimum of 3 games at 2 different local or
international events for a minimum total of 6 games and, referee a minimum of 5 games at 2
international events (total 16 games).
Banking information:
Name of Bank:
DEUTSCHE BANK BONN KAISERPLATZ 7-9, D 53113 BONN GERMANY
DEUTSCHE BANK BRANCH 414
Account name: International Blind Sports Federation e.V. (I.B.S.A.)
Account number (IBAN): DE76 3807 0059 0056 5499 00
BIC (Swift-code): DEUTDEDK380
PAYPAL Account name: [email protected]
Referees Coordinator e-mail: [email protected]