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                             Dossier Sélections LIDO 2010 - 2011
                                                 13/13

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Dossierlido 2011 (kopia)

  • 1. ! ! ! ! ! ! "#! "$%&'! (#)*+#!,#-!.+*-!,/!(0+1/#!,#!23/43/-#! ! ! ! ! ! !!!!!!!!!!!!!!!"#$$%&'!()%*$+'%,-%#*!! ! ! !! ! ! ! ! ! ! ! !!!!!.#'/0-%#*!,'#1&$$%#**&22&! ! ! ! ! ! 3!2)%*%-%0-%4&!(&!20!5%22&!(&!6#72#7$&8!2&!9%(#!#74'&!$&$!,#'-&$!&*!:;<<=!>#7-&*7!,0'!20!'?@%#*!A%(%BCD'?*?&$! &-! 20! "E3F8! 2&! 9%(#! &$-! (&4&*7! (&,7%$! +&$! (&'*%G'&$! 0**?&$! 7*! 2%&7! ,'%4%2?@%?! (&! 20! 1#'/0-%#*! 0'-%$-%H7&!! &7'#,?&**&=! 90! (?/0'+I&! ,?(0@#@%H7&! (&! 2)?+#2&! ,'#1&$$%#**&22&! &$-! 07! $&'4%+&! (&! 2)0'-%$-&8! J! 20! '&+I&'+I&! ()7*&! $%@*0-7'&!&-!()7*&!07-I&*-%+%-?!0'-%$-%H7&=!K22&!$)0,,7%&!$7'!2&$!-&+I*%H7&$!(&!+%'H7&!&-!'&4%$%-&!2&!-I?L-'&8!20! (0*$&8! 2&$! 0'-$! ,20$-%H7&$! &-! -#7-&! 07-'&! 1#'/&! +'?0-%4&! $7$+&,-%M2&! ()%*127&*+&'! &-! ()&*'%+I%'! 2&$! ,'#,#$%-%#*$!0'-%$-%H7&$!(&!20!$+G*&!+#*-&/,#'0%*&8!$0*$!,&'('&!,#7'!07-0*-!20!$,?+%1%+%-?!(7!+%'H7&=!9&!9%(#! ,'%4%2?@%&!2)?+'%-7'&!,&'$#**&22&8!20!'&+I&'+I&!()7*!20*@0@&!+#',#'&2!,'#,'&!07!+#/?(%&*!(&!+%'H7&=! C0'-&*0%'&!(D*0/%H7&!(7!(?4&2#,,&/&*-!2#+028!2&!9%(#!$&!+0'0+-?'%$&!,0'!$&$!?+I0*@&$!04&+!2&$!0'-%$-&$!&-! +#/,0@*%&$! ,'#1&$$%#**&22&$! *?&$! (0*$! $&$! /7'$! N2&$! 3+'#$-%+I&$8! 20! +#/,0@*%&! :::8! 2&! O#7$-'#,I?(#*8! F'%(0+#/,0*D8!20!+#/,0@*%&!>%*@72%G'&8!P?-#8!2&!C&-%-!6'04&'$8!&-+=Q! ! ! "5!,675+89#!:6,5;3;01/#! 9)?+#2&! $)%*$+'%-! (0*$! 7*&! (D*0/%H7&! %**#40*-&! (7! $,&+-0+2&! +%'+0$$%&*=! 9)#MR&+-%1! (&! 2)?+#2&! &$-! (&! (D*0/%$&'!2&$!?2G4&$!J!20!'?02%$0-%#*!()7*!R&7*&!+%'H7&!(&!+'?0-%#*!,#'-&7'!(&!20*@0@&!#S!20!,&'1#'/0*+&!0! $0!,20+&8!2)0+-&7'!0!$#*!$&*$8!2&$!$,&+-0-&7'$!$#*-!,'?$&*-$=! ! 90!(?/0'+I&!,?(0@#@%H7&!$)0,,7%&!$7'!7*!-'%,-DH7&!+'?0-%1!01%*!()0/&*&'!2)?2G4&!J!T! !!"?+#74'%'!20!,0'-!(&!(?'%$#%'&!H7%!2)I0M%-&8!2&$!10%22&$!H7%!2&!+#/,#$&!,#7'!H7)%2!-'#74&!$0!$%*+?'%-?=! !! >)&*'%+I%'! (0*$! 2&$! -&+I*%H7&$! (7! /#74&/&*-! ,0'!7*&! ,'?,0'0-%#*! +#',#'&22&! &-! 4#+02&8! 7*&! 0+'#M0-%&! ('0/0-%H7&8!7*&!'&+I&'+I&!(0*$!2&$!(%11?'&*-$!-&''%-#%'&$!(&!20!@&$-7&22&!0'-%$-%H7&=! !! >&! $%-7&'! (0*$! $#*! 0'-! +%'+0$$%&*! +#//&! 7*! U!$,#'-%1! (&! I07-! *%4&07!V! #S! +I0+7*! (#%-! 0--&%*('&! 20! ,2?*%-7(&!(7!/#74&/&*-!R7$-&8!$0*$!/#(G2&!,'?(?1%*%!,0'!20!2#*@7&!I%$-#%'&!(7!+%'H7&=! ! 9&! +#',$! (&$! &*$&%@*0*-$! (D*0/%$&! 7*! &$,0+&! ,&'/0*&*-! (&! '?12&W%#*=! P2$! (?1%*%$$&*-! (&$! #7-%2$! ,?(0@#@%H7&$! ,&'-%*&*-$8! %*127&*+?$! ,0'! 20! '%+I&$$&! +72-7'&22&! ()I%&'! &-! ()07R#7'()I7%! -#7-! &*! @0'(0*-! 7*&! 1#'-&!+72-7'&!U!2%(#-%&**&!V=! P2! $)0@%-! -'G$! +20%'&/&*-! ()7*! ,0'+#7'$! (&! 1#'/0-%#*! ,27$! H7)7*! 0,,'&*-%$$0@&8! 07! +#7'$! (7H7&2! &$-! &*-'&,'%$&!20!'&+I&'+I&!()7*&!$%@*0-7'&!0'-%$-%H7&=!P2!&$-!'?@%!,0'!20!4#2#*-?!(&!+#/M%*&'!2&$!0,,'&*-%$$0@&$! Dossier Sélections LIDO 2010 - 2011 1/13
  •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ossier Sélections LIDO 2010 - 2011 2/13
  • 4. ! ! C!I!$%KL2$2K! ! ! ! (à inscrire en majuscules) ! ! Photo NOM & PRENOM : ----------------------------------------------------------------------- ! d’identité ! obligatoire Né(e) le : ----/------/---------- ! ! Taille : --------------------- Poids : -------------- ! ! Nationalité(s) : ----------------------------------------------------------------------------- ! ! Diplôme le plus élevé obtenu : ---------------------------------------------------------- ! ! Date d’obtention de ce diplôme : -----/-----/----------- ! ! Sinon, Niveau de diplôme non validé : ---------------------------------------------- ! ! Adresse COMPLETE : ------------------------------------------------------------------ ! ------------------------------------------------------------------------------------------------- ! ! Pays : ------------------------------------ ! ! Tél. : ------------------------------- Port : ------------------------------------- ! ! Email : ------------------------------------------------------------ ! ! ! E!M!N&OP.2$&L!($OQGK! ! !!K834#-!,#!80+1/#!>+61/#)*6#-! !!!!!!!!!!!R6+03,#-!! %/+6#!,#!45!>3+75*03)! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! SRK($."$2K!:+6-#)*6#!J!45!-64#8*03)!H!!!!!!!!!!BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB! ! S0!%G&'!L&P!#*!ROKL&P!,/!3/!,#!45!:5+*#)50+#!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! Dossier Sélections LIDO 2010 - 2011 4/13
  • 5. ! ! T!M!OKLSK$ULKPKL2S!%$VKOS! ! S0*/5*03)!,#!>57044#! ! (640<5*50+#! ! ! ! ! P5+06W#X!3/!B0B5)*!#)!83/:4#! ! ! ! ! ! S0!#)>5)*-!J!895+;#'!)37<+#!,?#)>5)*-!H! ! ! S0*/5*03)!>0)5)80Y+#!58*/#44#! ! %#75),#/+!,?#7:430! !!!!!!Z6)6>08050+#!OP$! ! S3/*0#)!>5704054! ! ! ! S0!5/*+#!-0*/5*03)'!:+680-#[!H! ! ! S0*/5*03)!,#-!:5+#)*-! ! RY+#!! ! ! Nom et prénom : -------------------------------------------------------------------------------------------------- ! ! Profession : -------------------------------------------------------------- ! ! Adresse : ----------------------------------------------------------------------------------------------------------- ! ! Tél : ----------------------------------------- Port : ----------------------------------------- ! ! Email : ----------------------------------------- ! ! PY+#! ! L37!#*!:+6)37!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! R+3>#--03)!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! .,+#--#!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! 264!H! IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! R3+*!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! ! K7504!H!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! ! Dossier Sélections LIDO 2010 - 2011 5/13
  • 6. ! R3/+!*3/*#-!4#-!1/#-*03)-!-/0B5)*#-! V3/-!:3/B#[!=30),+#!,#-!>#/044#-!5))##-! S0!4#-!#-:58#-!+6-#+B6-!5/!+6:3)-#-!-3)*!0)-/>>0-5)*-! ! D!M!SRK($."$2K!2K(]L$QGK!! ! ! QGK"!KS2!"K!L$VK.G!.22K$L2!%.LS!(K22K!2K(]L$QGK!^! ! :'();4#<!(#!=&>+'!?.1%)$#!@#!'),#&4!+A*#'4!B!! ! ! ! ! SRK($."$2K!!2K(]L$QGK! ! ! 2_:#-!,#!>0;/+#-! ! ! ! L0B#5/!,#!,0>>08/4*6! ! ! ! L37<+#!,?3<=#*-!75)0:/46-! ! ! ! 2_:#-!,?3<=#*-! ! Dossier Sélections LIDO 2010 - 2011 6/13
  • 7. ! ! ! Q/#4!#-*!4#!-#)-!,#!B3*+#!+#89#+89#!,5)-!8#**#!*#89)01/#!^! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! K*!1/?507#+0#[IB3/-!,6B#43::#+!,5)-!8#**#!*#89)01/#!^! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! `!M!N&OP.2$&LS!.O2$S2$QGKS! ! VKG$""Ka!$L%$QGKO!%K!P.L$KOK!%K2.$""KK!V&2OK!R.O(&GOS!%K!N&OP.2$&L! .O2$S2$QGKA! ! Dossier Sélections LIDO 2010 - 2011 7/13
  • 8. ! ! ! ! ! ! .8*0B0*6-!! ! ! ! R+5*01/#-! ,#!430-0+-! %5*#-! %/+6#-! "0#/!! $)*#)-0B#-! W-*5;#-!:3)8*/#4-!3/! ! W-*5;#-!,#!>3+75*03)! 5*#40#+-! 43);/#!,/+6#X! 9#<,375,50+#-X! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! (377#)*!83))50--#[IB3/-!4#!"0,3!^! ! ! ! ! ! ! ! ! ! ! Dossier Sélections LIDO 2010 - 2011 8/13
  • 9. ! ! Q/?5**#),#[!B3/-!,/!"0,3!^! ! ! ! ! ! ! ! ! ! ! Q/#44#-!3)*!6*6!B3-!#:6+0#)8#-!5+*0-*01/#-!W-8Y)#-'!+/#-'!AAAX!^! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Q/#4-!-:#8*584#-!5B#[IB3/-!:5+*08/40Y+#7#)*!5::+6806-!#*!:3/+1/30!^! ! ! ! ! ! ! ! ! Dossier Sélections LIDO 2010 - 2011 9/13
  • 10. ! ! ! ! ! ! ! ! ! ! ! (377#)*!#)B0-5;#[IB3/-!>0)5)80Y+#7#)*!B3*+#!5))6#!J!23/43/-#!^! ! ! ! Dossier Sélections LIDO 2010 - 2011 10/13
  • 11. ! ! b!M!L$VK.G!%.LS!"KS!2K(]L$QGKS!.(O&Z.2$QGKS! ! C#!5#'*)+''#.!D!#'!*.&,&)@!E!;4#!@#$!=)04.#$!.1#@@#5#'*!*.&,&)@@1#$!+4!;4&$)5#'*!&%;4)$#$9! ! ! .8+3<5*0# ! ! ! ! ! ! ! ! ! ! ! F+%G#.!@#$! O3/#! O3),5,#! S*!,#! S*!,#! N40:! S54*3!! S54*3!! %&$#$! P50)-! 2c*#! .B5)*! .++0Y+#! ! ! ! ! ! ! ! ! ! R5-!5<3+,6! ! ! ! ! ! ! ! ! K)!*+5B504! ! ! ! ! ! ! ! ! .81/0-! ! ! C#!5#'*)+''#.!D!#'!*.&,&)@!E!;4#!@#$!=)04.#$!.1#@@#5#'*!*.&,&)@@1#$!+4!;4&$)5#'*!&%;4)$#$9! ! K1/040<+#-!-/+!750)-! ! ! ! ! ! ! ! ! ! F+%G#.!@#$! K1/040<+#-! P3)*6#! P3)*6#! P3)*6#! %#-8#)*#! C!<+5-! F&$#$! S/+!750)-! K85+*! 2#),/#! K)!>3+8#! K)!:45)89#! ! ! ! ! ! ! ! R5-!5<3+,6! ! ! ! ! ! ! ! K)!*+5B504! ! ! ! ! ! ! ! .81/0-! ! ! Dossier Sélections LIDO 2010 - 2011 11/13
  • 12. ! ! d!M!.G2OKS!2K(]L$QGKS!%K!($OQGK!&G!RO.2$QGKS!.O2$S2$QGKS! ! ! ! ! %5*#-! "0#/!,?58*0B0*6! L5*/+#! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! e!I!SR&O2S! ! H.&*);4#!+%%&$)+''#@@#!I$*&0#$J!K##LM#'($J999N! ! ! ! %5*#-! "0#/!,?58*0B0*6! L5*/+#! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! H.&*);4#!.104@)O.#!+4!)'*#'$),#! ! ! ! %5*#-! "0#/!,?58*0B0*6! L5*/+#! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Dossier Sélections LIDO 2010 - 2011 12/13
  • 13. ! ! f30),+#!07:6+5*0B#7#)*!J!8#!,3--0#+!H! ! • P'!F4..)%4@45!,)*&#! • P'#!?G+*+!#'!?)#(!I#'!?@4$!(#!@&!?G+*+!(Q)(#'*)*1N! • P'!%#.*)=)%&*!(#!'+'M%+'*.#!)'()%&*)+'!R!@Q#==+.*!?GS$);4#!(&*1!(#!5+)'$!(#!T!5+)$! • F+?)#!(4!?&$$#?+.*!+4!(#!@&!%&.*#!'&*)+'&@#!(Q)(#'*)*1! ! ! ! ! %3--0#+!J!+#)B3_#+!5B5)*!4#!CD!75+-!EFCC! ! CD!O/#!,#!U504458! P6*+3!"0;)#!.!M!-3+*0#!g!"#-!.+;3/4#*-!h! TC`FF!2&G"&GSK! ! U1@!B!VW!72!22!27!2V!+4!VW!72!22!27!2W! X&8!B!VW!72!66!Y3!YT! ! Z5&)@!B!! 40,3A>3+75*03)i+/#,/80+1/#A837! ' ! ! ! ! !!!!!! ! ! ! !!!!! ! ! ! Dossier Sélections LIDO 2010 - 2011 13/13