Part-Time Coach Claim Form

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Sailor ID

Bank account number*

Name of bank*

1a. Date, Time, Training Program*

1a. Amount*

2a. Date, Time, Training Program

2b. Amount

3a. Date, Time, Training Program

3b. Amount

4a. Date, Time, Training Program

4b. Amount

5a. Date, Time, Training Program

5b. Amount

Total Amount

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