| Italiano | Français | Deutsch |
| Delegation: |
| Addres: |
| Phone/fax: | Codice F.I.J.L.K.A.M.: |
| Weight. | Name. | Palmares. |
| Kg. -55 | ||
| Kg. -60 | ||
| Kg. -66 | ||
| Kg. -73 | ||
| Kg. -81 | ||
| Kg. -90 | ||
| Kg. -100 | ||
| Kg. +100 | ||
| Weight. | Name. | Palmares. |
| Kg. -44 | ||
| Kg. -48 | ||
| Kg. -52 | ||
| Kg. -57 | ||
| Kg. -63 | ||
| Kg. -70 | ||
| Kg. -78 | ||
| Kg. +78 | ||
| Leader Delegation name: |
| Referee Mr.: |
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| Date: ......./......../......... |
General Manager
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