VICTORIAN MULTI CLASS RECORD ADJUSTMENT APPLICATION FORM

VICTORIAN MULTI CLASS RECORD ADJUSTMENT APPLICATION FORM

Please complete this form if you wish to lodge an adjustment query to a Multi Class Record established prior to 10 April 2025. All queries will be assessed and checked. If it is found that your adjustment is confirmed we will notify you.
I understand that only times swum at Swimming Victoria Championships, Swimming Australia Championships or FINA/World Aquatics events can be used.
Please enter the Classification, Event and time you are querying. *
My Details
Name of Competitor (as shown in Swim Central)*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Club you were a member of at the time the event was recorded*
Name of Coach*
Name of person completing this application *
Email*
example@example.com
Date of Race*

DayMonthYear
Date
Name of Competition*
Please insert name as described on Competition Flyer, Program or website etc
Host of Competition*
This will be the organisation conducting the meet eg Swimming Victoria, Swimming Australia, FINA, IOC, World Aquatics
Short Course - 25 metre (SC)Long Course - 50 metre (LC)
Name of Pool/Venue*
AOE Automatic (Touchpads)Semi Automatic (Dolphin System or similar)Manual (Stopwatches)Not known
Time Swum*
eg 1:03.25
FinalTimed FinalHeat
NoYes
Event you achieved the split time
Please include Event Number, Race Description eg, Event 26 200 Freestyle
Classification*
Mens/BoysWomens/Girls
Open18 Years17 Years16 Years15 Years14 Years13 Years12/U Years
50m100m150m200m400m800m1500m
BackstrokeBreaststrokeButterflyFreestyleIndividual Medley
Results File Upload*

Meet Mobile Results are not accepted. The following will be considered for record approval: Team Manager (TM) file, full PDF copy of meet results showing; date of meet; meet host; meet name; event nos; event descriptions; event times or a screen shot from 'Live Results', Swim Central, World Aquatics Results or other international Federation results.
Cancelof
Postal Address for Record Certificate*

Street Address

Street Address Line 2

SuburbState

Post Code
Should be Empty:

VICTORIAN MULTI CLASS RECORD ADJUSTMENT APPLICATION FORM

My Details