Post

FIP IDENTITY NUMBER

First Time Entry -

Yes

Salutation

Mrs

Miss

Surname

First Name

Pseudonym (if any)

Date of birth (Youth Class only)

Tel

Fax

Address

Country

Title of this exhibit (in English)

Previous title in the last FIP Exhibition (MUST indicate if different from above)

Shot description of the exhibit (in English)

1. Introduction page included

YES

2. Philatelic Literature Exhibition Information Form included (only applicable for Literature Class)

YES

Exhibition

Number of

Dimensions of Sheet

PAST AWARDS RECEIVED

FIP Patronage World Exhibition/FIP Recognition Exhibition	LG	G	LV	V	LS	S	SB	B
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-
International (FIAP/FEPA/FIAF) Exhibition
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-
National Exhibition
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-
-	-	-	-	-	-	-	-	-

The Undersigned (exhibit) hereby

1. agrees to accept all FIP Regulations (GREX,GREV,SREVS) and the individual regulations (IREX) applting to (Name of Exhibition)

2. confirms that the exhibit is owned ny me (GREX Article 11.2)

Signature

Date

Commusssioner's declarations

Remarsk: (i) I confirm that the above information is correct

(ii)

Signature

Date

The exhibit will be delivered by the commissioner