If the National Anti -Doping Organizat ion refers the matter to WADA for review, the TUE granted by WAKO remains valid for international -level Competition  and Out-of-Competition Testing  (but is not valid for national -level Competition ) pending WADA’s  decisio n. If the National Anti -Doping Organi zation  does not refer the m atter to WADA  for review, the TUE granted by WAKO becomes valid for national -level Competitio n as well when the twenty -one (21) day review deadline expires.