Profile for Sydney 2000 Games
(September 15 -October 1, 2000)

Please provide the following contact information:
Surname/Family Name:
Given Name
Date of Birth:	Month:	Day:	Year:
Gender:	Male	Female
Place of Birth:
City		Country
Nationality
Occupation/Profession:
Permanent Address:
Address (cont.)
City
Country
Home Phone
Work Phone
FAX
E-mail

Passport #

Expiry Date:

Day:

Month:

Year:

Sport:		Games Function:	Select Function Competitor Team Official Coach Manager Media Personnel
Height:	(Metres)	Weight:	(Kgs)
Blood Type		Allergies
(Photograph needed passport size in colour at least six (6) (Optional depending on function) (Applicant's signature is required on the original accreditation form)
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