qatar o-fi teams registration... · 2012. 8. 1. · ~x~ /i.uw1.djxj~poji ~1::"j~1. qatar...

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/iltW1 ..... Qatar Basketball Federation QATAR Member of FIBA o-fi Basketball junior teams coach data form Fu II N arne: . ............. ..... .... ....... ... .. . .. ............. .......... . ... ............... . .. .. .. .. ... ......... : J.a1.S.ll: ---'o.Ij! "'i I Photo . ••• ••••• 0 ...... . .. . .. ...... .. . : ... Nationality : .. ...... . .. .. .... .. . .. .. .. .. .. .. 11.1...'_----: ) 1 Age: .. .... ......... . .. ... ..... . . .... ........ . ... ....... .. .. .. ...... . ..... .. ........ .. ... ... ... .. ... ... .. ...... . .. .. ... .... .... .. .... .. ... .. .... .... .... .. .. ..... .. ................ ......... .. .. . .. ... Educational level: univ 0 0 master 0 DoetDTate 0 Specialization: .. ...... .. ... ...... ... ...... .. . .. .. .. . .... . .... . ... . ... .. . .. .... .. .. .. .. .. .. . .. .. .. ....... .. . .... .. ..... .. ........... . .. ... . .. .. .. .. ............... .. .. . o 0 0 0 0 I o I .,. ... ";) 0 Age group you trained; Micro 0 mini 0 under 140 under 160 under 18 0 Youth 0 Aassistant coach 0 nationa1 team 0 VIA· (+ Wt)H'Ut.·,,·- H,\u,n· :u-S1.3- (+Wt)H,\ttIVA- H'\HIvo-U'\HW\ Tel. :(+974)44944171 - 44944175 - 44944178 - Fax: (+974) 44944160 - 44944090 - P.O.Box : 7180 DOHA - QATAR E-mail: [email protected] :

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Page 1: QATAR o-fi Teams Registration... · 2012. 8. 1. · ~x~ /i.UW1.djXJ~poJI ~1::"j~1. Qatar Basketball Federation . QATAR . Member of FIBA ~J..1-lI .)L-...J~1 ~ Experiences as a basketball

iltW1 LljXJ~poJI ~1j~1 Qatar Basketball Federation ~~

QATAR Member of FIBA

~) ~Ulll ~ o-fi ~jl4 ~Lj~ Oj~ Basketball junior teams coach data form

FuII N arne Ja1Sll ~---oIjiIPhoto

~ bullbullbull bull bullbullbullbullbull 0 Nationality ~~JIIIJ111_----~) 1

Age ~l

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Educational level

univ 0 d~p1oma 0 master 0 DoetDTate 0 Specialization

o ~~ 0 A~ 0 i~ 0 t~ 0 ~ Io I~) 0

~j~~~

Age group you trained

Micro 0 mini 0 under 140 under 160 under 18 0

Youth 0 Aassistant coach 0 nationa1 team 0

~-~Jul VIAmiddot ~- (+Wt)HUtmiddotmiddot- Hunmiddot u-S13- (+Wt)HttIVA- HHIvo-UHW --U~

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974) 44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketballolympicqa ~Jsr)1 u~1

iUW1djXJ~poJI ~1j~1~x~ Qatar Basketball Federation Member of FIBA ~J1-l I )L-J~ 1 ~QATAR

Experiences as a basketball player

~ lt~JI VIA a ygt - (+W) U~H - U H 1 ~19 - (+Wt) U ~H VA - U i Vo - U U IV ~lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA- QATAR E-mail basketbaliolympicqa ~J~JI u~1

~~ wwl ~~~poJI ~IJ~I Qatar Basketball Federation

QATAR Member of FIBA

Domestic and academic studies In the last years

International certified studies In the last middot years

- ~Jul VIA y ~ - ( +Wt)U Hmiddot middot- U U I ramp~ - ( I-Wi)UUIVA - HHIVO - ttHIVl ltAilA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974) 44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketbalolympicqa ~9~)1 ---gt+1

iUuJ1 poundi~~PQJI ~1=j~1~~ Qatar Basketball Federation MemberofFIBA ~jLJ I J~~I~QATAR

~) ej)1J J~il ~~JJ ~ J~il

Accreditation as a basketball coach

AceAccreditation resource inter Nat ion loc

nu mber

Experiences as a basketball coach in last ~ years

~- aJu1 VIA - --~- (-iW)HUmiddotmiddot- HHi u-S1S - (+Wt)ttUWA - HHlVO - UUIV lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketballolympic qa ~j~ll~-ll

iLutJ1a~ poJI ~ l==-j~1~ Qatar Bask~ball Federation Member of FIBA ~JiJIL-gti~1 ~QATAR

Required Documents

Qualification

Studies Obtained (original + copy)

Biography of the coach described

the following

Its history as a basketball player

bull clubs that have played

bull National teams represented by

bull trophies obtained

Shown in its history as a coach

The clubs that trained and age

Achievements with clubs

National Teams trained

Coach signature

(oJyJI+t)l6)U J~ )~ ~yJ

(oJ~-tJai)~ ~WI wtly11

1 ~~yo I-l~~il 0~

4L ofi~)tS ~Jli

lamp-l ~~I ~lii bull

4Ji~w~1 bull

~~~ wl1 bull

~~yo YJ~ ~Jli

~~I~yJlJ ~J~ ~j ~ ~liJ1

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4middotu~ 11 w~1

- - dgtJJ1 VAmiddot ~()D - (+wuumiddotmiddot-uU1middot~~-( W)HU 1V ilU 1VO HHV -LilA

~(+97~)44944171- 44944175 - 44944178 - Fax (+974) 449441~0 ~ 44944090 - PO Box 7180 DOHA- QATAR E-mail baskeLballolymplcqa ITj~ll1 ~~I

Page 2: QATAR o-fi Teams Registration... · 2012. 8. 1. · ~x~ /i.UW1.djXJ~poJI ~1::"j~1. Qatar Basketball Federation . QATAR . Member of FIBA ~J..1-lI .)L-...J~1 ~ Experiences as a basketball

iUW1djXJ~poJI ~1j~1~x~ Qatar Basketball Federation Member of FIBA ~J1-l I )L-J~ 1 ~QATAR

Experiences as a basketball player

~ lt~JI VIA a ygt - (+W) U~H - U H 1 ~19 - (+Wt) U ~H VA - U i Vo - U U IV ~lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA- QATAR E-mail basketbaliolympicqa ~J~JI u~1

~~ wwl ~~~poJI ~IJ~I Qatar Basketball Federation

QATAR Member of FIBA

Domestic and academic studies In the last years

International certified studies In the last middot years

- ~Jul VIA y ~ - ( +Wt)U Hmiddot middot- U U I ramp~ - ( I-Wi)UUIVA - HHIVO - ttHIVl ltAilA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974) 44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketbalolympicqa ~9~)1 ---gt+1

iUuJ1 poundi~~PQJI ~1=j~1~~ Qatar Basketball Federation MemberofFIBA ~jLJ I J~~I~QATAR

~) ej)1J J~il ~~JJ ~ J~il

Accreditation as a basketball coach

AceAccreditation resource inter Nat ion loc

nu mber

Experiences as a basketball coach in last ~ years

~- aJu1 VIA - --~- (-iW)HUmiddotmiddot- HHi u-S1S - (+Wt)ttUWA - HHlVO - UUIV lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketballolympic qa ~j~ll~-ll

iLutJ1a~ poJI ~ l==-j~1~ Qatar Bask~ball Federation Member of FIBA ~JiJIL-gti~1 ~QATAR

Required Documents

Qualification

Studies Obtained (original + copy)

Biography of the coach described

the following

Its history as a basketball player

bull clubs that have played

bull National teams represented by

bull trophies obtained

Shown in its history as a coach

The clubs that trained and age

Achievements with clubs

National Teams trained

Coach signature

(oJyJI+t)l6)U J~ )~ ~yJ

(oJ~-tJai)~ ~WI wtly11

1 ~~yo I-l~~il 0~

4L ofi~)tS ~Jli

lamp-l ~~I ~lii bull

4Ji~w~1 bull

~~~ wl1 bull

~~yo YJ~ ~Jli

~~I~yJlJ ~J~ ~j ~ ~liJ1

~JI ~ wI j4Jl1

4middotu~ 11 w~1

- - dgtJJ1 VAmiddot ~()D - (+wuumiddotmiddot-uU1middot~~-( W)HU 1V ilU 1VO HHV -LilA

~(+97~)44944171- 44944175 - 44944178 - Fax (+974) 449441~0 ~ 44944090 - PO Box 7180 DOHA- QATAR E-mail baskeLballolymplcqa ITj~ll1 ~~I

Page 3: QATAR o-fi Teams Registration... · 2012. 8. 1. · ~x~ /i.UW1.djXJ~poJI ~1::"j~1. Qatar Basketball Federation . QATAR . Member of FIBA ~J..1-lI .)L-...J~1 ~ Experiences as a basketball

~~ wwl ~~~poJI ~IJ~I Qatar Basketball Federation

QATAR Member of FIBA

Domestic and academic studies In the last years

International certified studies In the last middot years

- ~Jul VIA y ~ - ( +Wt)U Hmiddot middot- U U I ramp~ - ( I-Wi)UUIVA - HHIVO - ttHIVl ltAilA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974) 44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketbalolympicqa ~9~)1 ---gt+1

iUuJ1 poundi~~PQJI ~1=j~1~~ Qatar Basketball Federation MemberofFIBA ~jLJ I J~~I~QATAR

~) ej)1J J~il ~~JJ ~ J~il

Accreditation as a basketball coach

AceAccreditation resource inter Nat ion loc

nu mber

Experiences as a basketball coach in last ~ years

~- aJu1 VIA - --~- (-iW)HUmiddotmiddot- HHi u-S1S - (+Wt)ttUWA - HHlVO - UUIV lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketballolympic qa ~j~ll~-ll

iLutJ1a~ poJI ~ l==-j~1~ Qatar Bask~ball Federation Member of FIBA ~JiJIL-gti~1 ~QATAR

Required Documents

Qualification

Studies Obtained (original + copy)

Biography of the coach described

the following

Its history as a basketball player

bull clubs that have played

bull National teams represented by

bull trophies obtained

Shown in its history as a coach

The clubs that trained and age

Achievements with clubs

National Teams trained

Coach signature

(oJyJI+t)l6)U J~ )~ ~yJ

(oJ~-tJai)~ ~WI wtly11

1 ~~yo I-l~~il 0~

4L ofi~)tS ~Jli

lamp-l ~~I ~lii bull

4Ji~w~1 bull

~~~ wl1 bull

~~yo YJ~ ~Jli

~~I~yJlJ ~J~ ~j ~ ~liJ1

~JI ~ wI j4Jl1

4middotu~ 11 w~1

- - dgtJJ1 VAmiddot ~()D - (+wuumiddotmiddot-uU1middot~~-( W)HU 1V ilU 1VO HHV -LilA

~(+97~)44944171- 44944175 - 44944178 - Fax (+974) 449441~0 ~ 44944090 - PO Box 7180 DOHA- QATAR E-mail baskeLballolymplcqa ITj~ll1 ~~I

Page 4: QATAR o-fi Teams Registration... · 2012. 8. 1. · ~x~ /i.UW1.djXJ~poJI ~1::"j~1. Qatar Basketball Federation . QATAR . Member of FIBA ~J..1-lI .)L-...J~1 ~ Experiences as a basketball

iUuJ1 poundi~~PQJI ~1=j~1~~ Qatar Basketball Federation MemberofFIBA ~jLJ I J~~I~QATAR

~) ej)1J J~il ~~JJ ~ J~il

Accreditation as a basketball coach

AceAccreditation resource inter Nat ion loc

nu mber

Experiences as a basketball coach in last ~ years

~- aJu1 VIA - --~- (-iW)HUmiddotmiddot- HHi u-S1S - (+Wt)ttUWA - HHlVO - UUIV lA

Tel (+974)44944171 - 44944175 - 44944178 - Fax (+974)44944160 - 44944090 - POBox 7180 DOHA - QATAR E-mail basketballolympic qa ~j~ll~-ll

iLutJ1a~ poJI ~ l==-j~1~ Qatar Bask~ball Federation Member of FIBA ~JiJIL-gti~1 ~QATAR

Required Documents

Qualification

Studies Obtained (original + copy)

Biography of the coach described

the following

Its history as a basketball player

bull clubs that have played

bull National teams represented by

bull trophies obtained

Shown in its history as a coach

The clubs that trained and age

Achievements with clubs

National Teams trained

Coach signature

(oJyJI+t)l6)U J~ )~ ~yJ

(oJ~-tJai)~ ~WI wtly11

1 ~~yo I-l~~il 0~

4L ofi~)tS ~Jli

lamp-l ~~I ~lii bull

4Ji~w~1 bull

~~~ wl1 bull

~~yo YJ~ ~Jli

~~I~yJlJ ~J~ ~j ~ ~liJ1

~JI ~ wI j4Jl1

4middotu~ 11 w~1

- - dgtJJ1 VAmiddot ~()D - (+wuumiddotmiddot-uU1middot~~-( W)HU 1V ilU 1VO HHV -LilA

~(+97~)44944171- 44944175 - 44944178 - Fax (+974) 449441~0 ~ 44944090 - PO Box 7180 DOHA- QATAR E-mail baskeLballolymplcqa ITj~ll1 ~~I

Page 5: QATAR o-fi Teams Registration... · 2012. 8. 1. · ~x~ /i.UW1.djXJ~poJI ~1::"j~1. Qatar Basketball Federation . QATAR . Member of FIBA ~J..1-lI .)L-...J~1 ~ Experiences as a basketball

iLutJ1a~ poJI ~ l==-j~1~ Qatar Bask~ball Federation Member of FIBA ~JiJIL-gti~1 ~QATAR

Required Documents

Qualification

Studies Obtained (original + copy)

Biography of the coach described

the following

Its history as a basketball player

bull clubs that have played

bull National teams represented by

bull trophies obtained

Shown in its history as a coach

The clubs that trained and age

Achievements with clubs

National Teams trained

Coach signature

(oJyJI+t)l6)U J~ )~ ~yJ

(oJ~-tJai)~ ~WI wtly11

1 ~~yo I-l~~il 0~

4L ofi~)tS ~Jli

lamp-l ~~I ~lii bull

4Ji~w~1 bull

~~~ wl1 bull

~~yo YJ~ ~Jli

~~I~yJlJ ~J~ ~j ~ ~liJ1

~JI ~ wI j4Jl1

4middotu~ 11 w~1

- - dgtJJ1 VAmiddot ~()D - (+wuumiddotmiddot-uU1middot~~-( W)HU 1V ilU 1VO HHV -LilA

~(+97~)44944171- 44944175 - 44944178 - Fax (+974) 449441~0 ~ 44944090 - PO Box 7180 DOHA- QATAR E-mail baskeLballolymplcqa ITj~ll1 ~~I