Contact information of the NOC doctor for the XXII edition of the African Games Rabat 2019

It is a fundamental principle of the organizing committee of the 2019 Rabat African Games, to ensure that all NOC doctors receive the most accurate and up-to-date information possible. Therefore, NOCs are requested to officially appoint their doctors and send their details to the following address: [email protected] by 31 May 2019. 

Doctors of the NOC for the African Games Rabat 2019

CNO

 

 

Mrs / Miss / Mr

 

 

Name

 

 

First name

 

 

Passport number 

 

 

Medical specialty 

 

 

Year of the diploma 

 

 

Previous experience 

 

 

E- mail

 

 

Mobile phone

 

 

Address

 

 

Preferred language (English or French)

 

 

Please note that only a certified copy of the authorization to practice in the native country, with a legalized copy of the doctorate in general medicine and / or sports medicine, is required for registration in one of the three languages: English, French or Portuguese. Translations into one of the three languages ​​are accepted but must be accompanied by a copy of the original document. 

 I, the undersigned, as NOC President and / or Secretary General and / or Head of Mission, that the following information is accurate.

Surname / first name (in capital letters): :……………………………………………………………………

Signature of NOC President / Secretary General / Chef de Mission 

Date and place :…………………………………………………