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Applicant’s Details (to be checked against Database profile)Surname FORMTEXT ?????Name FORMTEXT ?????Date of Birth FORMTEXT ?????FEI ID No. FORMTEXT ?????Email FORMTEXT ?????Mobile No. FORMTEXT ?????Address FORMTEXT ?????Requirements FORMCHECKBOX Listed as a Level 1 Official Veterinarian FORMCHECKBOX Minimum 5 years equine veterinary experience at the time of application FORMCHECKBOX English proficiency grade of B1 or higher FORMCHECKBOX *Endurance Foundation Course FORMCHECKBOX *Level 2 EVT Transfer Up Course FORMCHECKBOX *3 FEI events with at least 2 different Level 3 or 4 EOVs, officiating as Members of the Veterinary Commission and acting as FEI Mentor Officials + 2 positive evaluations FORMCHECKBOX *3 FEI events with at least 2 different Level 3 or 4 EVTs, acting as FEI Mentor Officials + 2 positive evaluations*The courses and apprenticeships must be completed within 3 years of applyingFEI Events Date Place Event Type Mentor Official’s Name and FEI ID No. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????The National Federation of FORMTEXT ????? hereby certifies that the above-mentioned information is correct and true.The present application form and Mentor Officials’ evaluations must be returned to the FEI Veterinary Department by email to anne.saez@. NF RepresentativeName FORMTEXT ?????Date FORMTEXT ????? Stamp & Signature FORMTEXT ????? ................
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