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Get Therapeutic Use Exemptions (tue) Application Form Indian ... - Idtm

To complete this document electronically, please type where indicated, and do NOT insert additional lines. This document must be submitted in 3 pages. I apply for approval from the Indian Cricket Premier League (IPL) for the therapeutic use of a prohibited substance on the WADA List of Prohibited Substances and Prohibited Methods. 1. PLAYER INFORMATION Family Name(s): Female Male Given Name(s): (select appropriate box) Date of birth (dd/mm/yy): Address: City: State and Country: Post Co.

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