APPLICATION FOR STATE AFILIATION | General Choi Taekwon-Do Association

APPLICATION FOR STATE AFILIATION

Title *

Full Name *

First

Last

Postal address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Present Degree/Grade *

ITF Certificate number *

Phone number *

Emai ID

Association/Organization/Club Name

Number of students

Number of Black belt

About Your Self

Attach your association details as below

Applicant 1 passport size photo
Address Proof
State Association Registration copy
Association and Logo

Applicant Present Degree Certificate

File Upload

Name