International Powerlifting Federation (IPF)
USA Powerlifting (USAPL)
The International Powerlifting Federation and USA Powerlifting
invite the IPF member nations to participate in the
17th WORLD SUB-JUNIOR AND 35h WORLD JUNIOR
POWERLIFTING CHAMPIONSHIPS
27 August to 2 September 2017
Orlando, Florida, USA
Official Nomination Form
Preliminary: 28 June 2017
Not Participating: 28 June 2017
Final: 6 August 2017
The preliminary and final nomination forms must be sent to:
Robert Keller / Email: [email protected] / Cell: 954.790.2249
Gaston Parage / E-Mail: [email protected] / Cell: +352-621165214 / Fax: +352.582696
Submitted by
National Powerlifting Federation
UKRAINIAN
Submitting officer:
Tetiana Melnyk
Title: Secretary General
Team Manager : Sirazhutdin Bazaiev
Referee 1 :
Referee 2 :
Referee 3 :
Referee 4 :
Izosimov S.
Yasenetskyi I.
Zbandut I.
Bazaiev S.
Total number of lifters:
Date: 27/06/2017
Coach: Vadym Voronetskiy
Cat :
Cat :
Cat :
Cat :
2
2
2
1
Available for categories:
Available for categories:
Available for categories:
Available for categories:
Total amount of team :
Arrival :
day :
Flight/train/car
Arrival time:
On airport/station:
Flight nr:
Departure time:
Time:
Flight nr:
We need rooms:
Single – from – to:
Double – from – to:
Nomination Guidelines
Each referee must state which category they will be available to referee. He/she must referee in the stated categories
they’re nominated for to be available for. If available categories are not stated, he/she is obliged to referee in categories
decided by the Technical Committee.
It is an obligation of every Federation to confirm the participation of all their Referees nominated in the Final nomination
or cancel the referees who will not participate in the Championship!
Latest date for changes of categories for which has been allocated by the championship secretary must be made latest
21 days prior to the Technical Meeting of the competition. If referees do not indicate changes to the Championships
Secretary during that time, referees are obliged to be available for the original categories stated on IPF website on
“Referees/Jury duty” section.
All nominated referees attending a championship, must be available to referee for at least two days!
State each lifter’s personal best achieved at national or international championships during the previous 12 months.
Enter the lifter’s family name and first name separately into an appropriate column below.
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International Powerlifting Federation (IPF)
USA Powerlifting (USAPL)
NOMINATION FORM
Women Sub-Junior
Class Family Name
First Name
Birthday
SQ
BP
DL
TOTAL
63
43
57
72
DARIA
YANA
HANNA
RUSLANA
06/04/2001
14/11/1999
22/12/1999
13/04/2000
190,5
82,5
157,5
170
90
40
80
110
152,5
87,5
122,5
150
433
210
365
430
RUSANENKO
KUKULIAK
DEKERMENDZHY
KRASNOVA
Women Junior
Class Family Name
First Name
Birthday
SQ
BP
DL
TOTAL
43
47
47
57
57
72
DARIIA
TETIANA
ZINA
LAURA
ANASTASIIA
KATERYNA
28/04/1997
13/03/1996
11/09/1997
02/05/1995
14/09/1998
117,5
160
130
120
145
140
50
100
65
52,5
75
80
105
150
120
127,5
142,5
135
272,5
410
315
300
362,5
355
BRAZHNYK
SHLOPKO
DEMIAN
HOLUBENKO
NAKONECHNA
PINIONZH
Men Sub-Junior
Class Family Name
First Name
Birthday
SQ
BP
DL
TOTAL
53
120
ROSTYSLAV
VIKTOR
30/07/1999
9
26/02/2000
150
310
112,5
215
165
245
427,5
770
KINISHCHUK
HOLINEI
Men Junior
Class Family Name
First Name
Birthday
SQ
BP
DL
TOTAL
74
83
66
83
74
105
120
+120
MYKYTA
MAKSYM
RUSLAN
KOSTIANTYN
VLADYSLAV
DANYLO
OLEKSANDR
ANDRII
17/05/1995
21/06/1994
26/05/1998
11/08/1997
12/05/1997
24/01/1996
04/07/1995
09/09/1995
290
322,5
250
315
300
370
382,5
380
185
225
175
240
162,5
262,5
252,5
270
262,5
270
220
280
275
310
300
305
737,5
817,5
645
835
737,5
942,5
935
955
SUKHORUTCHENKO
SAMOILOV
RUZIMURADOV
MUSIIENKO
CHORNYI
KOVALOV
TYTARENKO
SHEVCHENKO
WADA
ADAMS ID#
WADA
ADAMS ID#
WADA
ADAMS ID#
WADA
ADAMS ID#
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International Powerlifting Federation (IPF)
USA Powerlifting (USAPL)
ACCREDITATION OF FEDERATION COACHES
Full and Complete Name
FEDORENKO SERHII
IZOSIMOV SERGII
GRYTSKO VASYL
KOTENDZHY LEONID
LYSYI IHOR
NIKOLYUKIN STEPAN
SEREDA VADYM
VORONETSKIY VADYM
YASENETSKYI IHOR
YASENETSKA NATALIIA
ZBANDUT IVAN
Federation Title
COACH
COACH
ASSISTANT COACH
COACH
COACH
COACH
ASSISTANT COACH
HEAD COACH
COACH
ASSISTANT COACH
COACH
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