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LOO ZHAO RONG - FIE

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Photo (à joindre au<br />

formulaire / to be attached<br />

to the form /<br />

- Couleur / colour<br />

- Format jpg ou gif / jpg<br />

or gif format / Foto en<br />

color a anexar al<br />

formulario, formato jpg o<br />

gif /<br />

CONSEIL FEMME ET ESCRIME DE LA <strong>FIE</strong> / FORMULAIRE DE<br />

CANDIDATURE 2012<br />

<strong>FIE</strong> WOMEN AND FENCING COUNCIL / 2012 CANDIDATURE FORM<br />

CONSEJO MUJERES Y ESGRIMA DE LA <strong>FIE</strong>/ FORMULARIO DE<br />

1. Identité et coordonnées / Identity and contact details / Identidad y contacto<br />

Nom / Surname / Apellido :<br />

<strong>LOO</strong><br />

Prénom / Given name / Nombre :<br />

Zhao Rong (Luan)<br />

Genre (M/F) / Gender (M/F) / Género (M/F) : F<br />

Date de naissance / Date of birth / Fecha de<br />

nacimiento :<br />

Nationalité / Nationality / Nacionalidad :<br />

Profession / Profession / Profesión :<br />

28 July 1972<br />

Singapore<br />

General Manager, Fencing Academy<br />

Rue / Street / Calle : Blk 287B Jurong East St 21, #07-334<br />

No postal et Ville / City and postcode /<br />

Ciudad y código postal :<br />

Singapore 602287<br />

Pays /Country / País : Singapore<br />

Tel : (65) 9644 4702<br />

Fax : (65) 6234 0925<br />

E-mail : loo.zhaorong@gmail.com<br />

Mobile / celular : (65) 9644 4702<br />

2. Langues parlées / Languages spoken I Idiomas hablados :<br />

FRA ANG ESP Autres /Other / Otros Chinese<br />

CANDIDATURA 2012<br />

3. Souhaite recevoir le courrier de la <strong>FIE</strong> / Wishes to receive the <strong>FIE</strong> documents in / Desea recibir el correo de<br />

la <strong>FIE</strong> en :<br />

FRA ANG ESP<br />

4. Diplômes, formation, expérience sportive / Diplomas, education, sport experience / Diplomas, formación,<br />

experiencia deportiva :<br />

Please refer to attached resume

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