I.K.F.
(International Karate
Federation)
Athletes up to 1° kyu
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Club |
Fiscal
code |
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City |
Region
Nation |
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Address |
Cap. |
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E-maial |
Phone
Fax. |
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n° |
Name |
kyu |
born
the |
Address |
City |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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The
President declares under the own responsibility that the brought again data are
truthful, besides declare, of authorize the I.K.F. to the treatment and you
has
hold
in the own files all the data brought again in the present card.
|
City
date
|
Signature
type
documents n° |