This document contains a nomination form for the Subrata Classic Open World powerlifting championships taking place from December 16-21, 2014. It provides information on the preliminary and final nomination deadlines of October 31 and November 24. It also lists the last day to cancel booked hotel rooms as December 1. Contact information is provided for the meet director and various categories are listed to nominate athletes and referees.

1. Nomination Form
Preliminary: 31st October Final: 24th November Last day to cancel the booked hotel rooms: 1st December‘14
SUBRATA CLASSIC OPEN WORLD
An Open Invitation International Meet for Unequipped Powerlifting, Benchpress & Deadlift Championships
from 16th December to 21st December,2014.
The preliminary and final nomination forms must be sent to:
Original: Meet Director: and Bhaskar Mitra, Hony. Genl. Secretary, Indian Powerlifting Federation
E-mail: indianpowerlifting@gmail.comMobilephone: +91-94307-20988, +91-98108-59374
Web Page : indianpowerliftingfederation.com
Correspondence: Bhaskar Mitra, e-mail : bhaskarkumarmitra@gmail.com
Accommodation transport: Bhaskar Mitra, e-mail : bhaskarkumarmitra@gmail.com
Copy: P.J. Joseph (pjjoseph_arjun@yahoo.co.in )
Submitted by National Powerlifting Federation/Association
Submitting officer: Title: Chairperson Date:
Teammanager : Coach:
Referee 1: Cat: Available for categories:
Referee 2: Cat: Available for categories:
Referee 3: Cat: Available for categories:
Referee 4: Cat: Available for categories:
Nominations -- Men’s Open
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations -- Men’s Junior
Class Family Name First Name Birthday BP

2. Reserve lifters, max. 5 per team
Nominations -- Men’s Sub-Junior
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations -- Men’s Masters 1
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations -- Men’s Masters 2
Class Family Name First Name Birthday BP

3. Reserve lifters, max. 5 per team
Nominations -- Men’s Masters 3
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations -- Men’s Masters 4
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations --Women’s Open
Class Family Name First Name Birthday BP

4. Reserve lifters, max. 5 per team
Nominations --Women’s Junior
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations --Women’s Sub-Junior
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations --Women’s Masters 1
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations --Women’s Masters 2

5. Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Nominations --Women’s Masters 3
Class Family Name First Name Birthday BP
Reserve lifters, max. 5 per team
Address for contact:
Name: Street: Zipcode:
City: Country: Phone:
Fax: E-Mail:

6. INDIAN POWERLIFTING FEDERATION
Bhaskar Mitra, E-mail: bhaskarkumarmitra@gmail.com
Phone: +91-94307-20988
Visa Support Form
Full names of athletes Birth Day Passport Number Expiration Date
Full names of coaches Birth Day Passport Number Expiration Date