|
This claim must be
filled in and sent |
Nordic
Powerlifting Fed. Record Registrar: E-mail: esbjorn.haraldsson@bredband.net |
|
The name of the r=
ecord
setting lifter:
|
|
|
The nation of the
lifter: |
|
|
The year of birth=
of
the lifter: |
|
|
The place and dat=
e of
the competition:
|
|
|
Age category of t=
he
lifter: |
|
|
Body weight of the
lifter: |
|
|
Discipline (squat,
bench, deadl. or total): |
|
|
Record lift in ki=
lo: |
|
State below the names and signatures of the refere=
es
judging the record
lift(s) if they are different from the referees signing the score sheet:
|
Name of referee |
Signature of referee |
|
|
|
|
|
|
|
|
|
|
I confirm that the
competition was run according to the IPF rule=
s |
Yes/No |
|
Discs and bar(s) were checked and found to be |
|
|
The drugtest was done
directly after the competition was finished |
|
|
The lift(s) was(were)
judged by IPF int. referees .................=
.. |
|
|
The scoresheet is en=
closed
with this claim .......................... |
|
The drug test results must be sent directly to the
Record Registrar when available. Until then the record will be noted as
pending.
=
=
--------------------------------------------------=
---
Signature
by
the chief of the
jury, the chief referee or
GS of the National Federation
<= o:p>
<= o:p>