Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • Dope Undertaking Format

    Uploaded by

    raj1269
    68 views1 page
    This document is a dope declaration form for an athlete participating in a weightlifting competition. The athlete declares that they are aware of banned substances and have not consumed any. They take full responsibility if a positive dope test results and will accept the consequences. The form also states that it is the athlete's personal duty to ensure no banned substances enter their body and they are responsible for any that are found, regardless of intent. The coach agrees to abide by anti-doping rules and accept sanctions if the athlete tests positive. The state secretary certifies the accuracy of the information and agrees to penalties if a positive test occurs.

    Original Description:

    Original Title

    DOPE-UNDERTAKING-FORMAT

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a dope declaration form for an athlete participating in a weightlifting competition. The athlete declares that they are aware of banned substances and have not consumed any. They take full responsibility if a positive dope test results and will accept the consequences. The form also states that it is the athlete's personal duty to ensure no banned substances enter their body and they are responsible for any that are found, regardless of intent. The coach agrees to abide by anti-doping rules and accept sanctions if the athlete tests positive. The state secretary certifies the accuracy of the information and agrees to penalties if a positive test occurs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    68 views1 page

    Dope Undertaking Format

    Uploaded by

    raj1269
    This document is a dope declaration form for an athlete participating in a weightlifting competition. The athlete declares that they are aware of banned substances and have not consumed any. They take full responsibility if a positive dope test results and will accept the consequences. The form also states that it is the athlete's personal duty to ensure no banned substances enter their body and they are responsible for any that are found, regardless of intent. The coach agrees to abide by anti-doping rules and accept sanctions if the athlete tests positive. The state secretary certifies the accuracy of the information and agrees to penalties if a positive test occurs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    UNDERTAKING

    DOPE DECLARATION FORM


    I, _____________________________ representing _____________________
    participating in ______ kg weight category in _____________________________________
    _________________________________________________________ hereby declare
    and certify on oath that I am aware of names of banned drugs under LATEST WADA / NADA
    code and state with full responsibility that I have not consumed any banned substance and
    that I am absolutely free from banned drugs. In case of my positive dope test at the above
    Championships I shall solely be responsible for the same and shall be liable for all consequences arising
    out of my positive dope test as provided in the Anti-Doping Rules / Policy of Indian Weightlifting
    Federation and National Anti-Doping Agency.

    It is my personal duty to ensure that no Prohibited Substance enters my body. I am


    responsible for any Prohibited Substance or its Metabolites or Markers found to be
    present in my sample. Accordingly, it is not necessary that intent, fault, negligence or
    knowing Use on my part be demonstrated in order to establish an anti-doping violation.

    I certify that I understand the contents of this undertaking which has been explained to me by my Coach /
    Manager / Secretary of my State Association in the language known to me.

    Name
    (in Block Letters)
    Address

    IWLF ID Card No.

    Mobile / Telephone

    Email

    Aadhar Card No.


    (Attach copy)

    State / Unit: ………………………………. Signature of Athlete:. . . . . . . . . . . . . ….


    Certified by:-
    I. _______________________________________, coach of above athlete agree to abide by rules
    and regulations of Anti-Doping Policy of Indian Weightlifting Federation / National Anti-Doping Agency
    and is aware of the consequences of use of banned drug(s) by my above trainee. I support and abide by the
    sanctions imposed on me by Indian Weightlifting Federation / National Anti-Doping Agency in case of
    above athlete being testing positive.
    Countersigned: ……………………………
    Name of Coach: …………………………… Mobile no. ……………………………
    Verified & Certified by:-
    I hereby certify that information provided in this Undertaking / Dope Declaration form is true and correct. I will
    be responsible for any discrepancy found in this form and actions thereof. I undertake to pay the administrative
    dope penalty charges of Rs. 50,000/- per positive dope test case as the State liability within 30 days and accept the
    suspension of the State Association / forfeiture of participation in any future Championship(s) as an affiliate Unit
    / as individual lifter till such time this financial outstanding is cleared.
    …..………………………..
    [Secretary]

    State / Unit ………………………………


    Dated: ……………………… With seal

    You might also like