The document provides information about the 30th Belgian International Amateur Golf Championship that will take place from July 30th to August 2nd, 2014 at the Royal Antwerp Golf Club. It includes an entry form for international players to provide their contact details, date of birth, nationality, gender, home club, and exact handicap. International players must have their handicap certified by their home Federation or Golf Union. All entries must be received by July 1st, 2014.

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Boulevard Louis Schmidt 87/6 Louis Schmidtlaan - 1040 BRUSSELS
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Belgian International Amateur Golf Championship
30th of July till 2nd of August 2014
Royal Antwerp Golf Club
TO BE COMPLETED BY ALL ENTRANTS. (except players affiliated to a Belgian Golf Club)
Please complete all relevant areas in BLOCK CAPITALS and return to the address below.
FIRST
NAME
FAMILY
NAME
ADDRESS
CITY
COUNTY/
STATE
COUNTRY
POSTCODE TEL NO
EMAIL MOBILE
DATE OF BIRTH D D M M Y Y Y Y NATIONALITY SEXE F M
HOMECLUB
EXACT HCP
(EG 2.8) .
I declare I am eligible under the conditions of the Championship, that I conform with the Rules of Amateur Status in all
respects and that all of the above information is correct to the best of my knowledge.
SIGNATURE DATE
Closing Date of Entries: Tuesday 1st of July 2014 at 12:00 a.m.
To be completed by the entrant’s Federation or Golf Union: We, Federation or Golf Union identified hereby, certify that
the index mentioned above is the current exact handicap of the entrant under the handicapping scheme adopted in the
country from which he has entered and to the best of my knowledge and belief, he is an amateur golfer in accordance with
the Rules of Amateur Status.
SIGNATURE, DATE and OFFICIAL STAMP OF CERTIFYING AUTHORITY POSITION
……………/…………/2014
Return to: Royal Belgian Golf Federation:
Boulevard Louis Schmidt 87/6, 1040 Brussels, Belgium fax: +32 2 675.46.19