Application for Affiliation to JKAWFI
Transcription
Application for Affiliation to JKAWFI
公益社団法人 日本空手協会世界連盟インド Japan Karate Association WF India Member: Karate Association of India APPLICATION FOR AFFILIATION FILL THE FORM IN CAPITAL LETTERS ONLY Name of the Organization: (The JKA WF INDIA encourage its members to follow uniformed name after affiliation viz JKA WF INDIA-WB, JKA WF INDIA-Delhi etc.) State: Full Postal Address: Name of Chief Instructor OR Group Head: Rank Details: (Please enclose copies of your all Dan rank Diplomas) Telephone / Cell No.: E-mail: Name of President (if any): Name of Secretary (if any): Number of Clubs / Dojo: Number of Members: Main Style Practiced: Fax: Website: We hereby confirm that our Organization has decided to affiliate with the JKA WF INDIA at its own will and desire. We accept to abide by the Rules, Regulations, and Bylaws and adhere to the Constitution of the Japan Karate Association WF India (JKA WF INDIA) Afroeurasia. _____________ Chief Instructor/ Group Head Date: _____________ President (Optional) Date: _______________ Secretary (Optional) Date: NOTE: Please enclose a recent colour Passport Size Photograph, your Bio-Data and Declaration with this Application. www.jkawfindia.in 公益社団法人 日本空手協会世界連盟インド Japan Karate Association WF India Member: Karate Association of India DECLARATION DECLARATION FOR AFFILIATION I, ____________________________________S/O _____________________________ Address: ______________________________________________________________ Hereby declare and confirm that I am joining the Japan Karate Association WF India (JKA WF INDIA) Afroeurasia with my own will and desire. I also declare that I have not joined any KAI recognized karate organization before / have been released myself by obtaining N.O.C. from the previous KAI recognized karate organization / never been in KAI before / left my previous organization for a considerable period. I promise to abide by the rules and regulations of the JKA WF INDIA and will work with full of my dedication and efforts to promote the prestige and dignity of the JKA WF INDIA. I will also make full effort to attend the training seminars, camps, courses, qualification examinations, tournament etc. organized by the JKA WF INDIA along with my students. The JKA WF INDIA has the right to suspend or terminate my membership, if in case I found involved in any criminal / civil offence or by any act for spoiling the atmosphere, prestige and dignity of the JKA WF INDIA or Karate-Do in general. I will also submit my Annual Membership fees / Individual Membership Fee for and on behalf of my whole group in time and submit the reports of my dojo and state / district headed by me, time to time. Witness: ________________________ Signature of Chief Instructor / Group Head 1. 2. Place: Date: NOTE: Please enclose the N.O.C. (if applicable) given by the previous KAI recognized karate organization. www.jkawfindia.in