International Competition Licence

Rider Details

Name*

First Last

Date of Birth*

EA Membership Number*

FEI Number

If you have one

Discipline/s for Licence*

Jumping
Dressage
Eventing
Driving
Endurance
Reining
Vaulting
Para-Dressage

Address*

Address line 1 Address line 2 Suburb State Postcode Country

Email*

Phone*

Overseas Competition Information

Departure Date*

Time Overseas*

Countries of Competition*

Click the + to add multiple countries

Current Level of Competition*

Country of Current Competition Results*

Proposed Level of Competition whilst Overseas*

Will you be taking a horse overseas?*

Yes
No

Horse Details

Horse Name*

Horse DOB*

EA Registration Number

FEI Number

If your horse has one

Breed*

Gender*

Mare
Gelding
Stallion

Contact Person in Australia

Name*

First Last

Address*

Address line 1 Address line 2 Suburb State Postcode

Email*

Phone*

Payment

International Competitors Licence Fee*

Price: $ 60.00

Consent*

Agree

I certify that I am capable of competing at the level indicated above and that I will at all time abide by the FEI Rules and the National Rules of the Country in which I am competing

Total

$ 0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name