Appendix 1 Imported medication list sample (only for the national sports delegation medical representatives) SAMPLE Medication list is APPROVED by the National federation We confirm that this list does not include narcotic and psychotropic substances _____________________________________________ (name of the national federation) «____» ___________ ___________________________ (date) (surname, name) ____________________________________ (authorised signature) List of medication imported to the territory of the Russian Federation to provide medical support for sports delegation Page ____ Total pages _____ № Sport event: 16th FINA World Championships 2015 in Kazan (incl. FINA World Masters Championships) of sport event: July 24 August 9, 2015 (FINA August 5 August World Masters Championships: – – 16, 2015) Participating country: ___________________________________________ Name of the medication Form, dosage Amount № I, ______________________, hereby confirm that imported medication will be used solely for medical support of the national sports delegation. I take on responsibility to export unutilized medication the end of the event. «____» ______________ _________________________________________________ (date) (sports delegation medical representative’s signature)
Appendix 1 Imported medication list sample (only for the national sports delegation medical representatives) SAMPLE Medication list is APPROVED by the National federation We confirm that this list does not include narcotic and psychotropic substances _____________________________________________ (name of the national federation) «____» ___________ ___________________________ (date) (surname, name) ____________________________________ (authorised signature) List of medication imported to the territory of the Russian Federation to provide medical support for sports delegation Page № ____ Total pages _____ Sport event: 16th FINA World Championships 2015 in Kazan (incl. FINA World Masters Championships) of sport event: July 24 – August 9, 2015 (FINA World Masters Championships: August 5 – August 16, 2015) Participating country: ___________________________________________ № Name of the medication Form, dosage Amount I, ______________________, hereby confirm that imported medication will be used solely for medical support of the national sports delegation. I take on responsibility to export unutilized medication the end of the event. «____» ______________ _________________________________________________ (date) (sports delegation medical representative’s signature)
Import%20of%20medications%20and%20medical%20equipment.docx