LOO ZHAO RONG - FIE

CONSEIL FEMME ET ESCRIME DE LA FIE / FORMULAIRE DE
CANDIDATURE 2012
FIE WOMEN AND FENCING COUNCIL / 2012 CANDIDATURE FORM
CONSEJO MUJERES Y ESGRIMA DE LA FIE/ FORMULARIO DE
1. Identité et coordonnées / Identity and contact details / Identidad y contacto
Nom / Surname / Apellido :
DRAI-LAST
Prénom / Given name / Nombre :
SHIRLY
Genre (M/F) / Gender (M/F) / Género (M/F) :
F
Date de naissance / Date of birth / Fecha de nacimiento : 22/8/71
Nationalité / Nationality / Nacionalidad :
ISRAEL
CANDIDATURA 2012
Profession / Profession / Profesión :
DISTRICT ENGENEER FOOD CONTROL
ADMINISTRATION MINISTRY OF HEALTH
M.A BUSINESS MANAGMENT
FENCING COACH
Rue / Street / Calle : 27 NIR HEN
No postal et Ville / City and postcode / Ciudad y código MOSHAV NIR HEN 7933000
postal :
ISRAEL
Pays /Country / País : ISRAEL
Tel : +972-50-6267103
Fax : +972-8-6745286
E-mail : SHIRLY.DRAI@GMAIL.COM
Mobile / celular : +972-50-6267103
2. Langues parlées / Languages spoken I Idiomas hablados :
FRA - QUI ANG -
YES
ESP -
NO
Autres /Other / Otros
HEBREW
3. Souhaite recevoir le courrier de la FIE / Wishes to receive the FIE documents in / Desea recibir el correo de la
FIE en :
FRA ANG - YES ESP
4. Diplômes, formation, expérience sportive / Diplomas, education, sport experience / Diplomas, formación,
experiencia deportiva :
1. FINALIST CADET WORLD CHAMPIONSHIP 1987 FOIL
2. FINALIST CADET EUROPEAN CHAMPIONSHIP 1988 FOIL
3. LAST 16 WORLD CUP FRANCE EPEE
4. LAST 16 UNIVERSIADE JAPAN
5. NATIONAL CHAMPION OF ISRAEL EPEE IND & TEAM
6. FENCING COACH
7. YOUTH DELEGATE OLYMPIC GAMES BARCELONA
8. INTERNATIONAL FENCING REFEREE FOIL AND EPEE
9. BOARD MEMBER OF THE ASHKELON SPORTS ASSOCIATION (including the Ashkelon fencing club)
10. PRESIDENT OF THE AUDIT COMMITTEE OF THE ISRELI FENCING ASSOCIATION
11. PRESIDENT OF THE REFERRING COMMITTEE OF THE ISRAELI FENCING ASSOCIATION