I.K.F.

(International Karate Federation)

________________________________________

Affiliations

Club  

fiscal cod.

Citty  

 Region

Adress

 Cap.

E-maial  

 Telephon                                                        Fax.

       

 Social board of directors

Presedent  

adress                                                     

Citty

V. President  

adress                                                     

Citty

adviser

adress                                                    

Citty

adviser  

adress                                                    

Citty

adviser

adress                                                     

Citty

secretary  

adress                                                    

Citty

Social Dottor

adress                                                    

Citty

technical manager

adress                                                     

Citty

  With the compilation of the card, the subject Declares that the brought again data are truthful, Declare besides, 

of authorize the I.K.F., in base to the law n° 675 of the 1996, to the treatment and has to hold the own personal data in file.

 

Citty                                           date                                               

signature                                                       document n°