MALAYSIA KENDO ASSOCIATION MEMBER APPLICATION FORM

Name (Romanized) Name (Japanese/Chinese Characters)(if any) Gender: Male/Female Date of Birth (Yr Mth Dd)

NIRC/Passport No

Residential Address :

Oce Address

Home Tel : Mobile No : Date of Application:

Oce Tel : E E-mail

DISCLAIMER: Kendo is a traditional martial arts origination from Japan and may subject the practitioner/ member to many risks such as injury. You are advised to read widely and well about kendo. Malaysia Kendo Association (MKA), Japan Club of Kuala Lumpur (JCKL), its committee members, instructors, coaches, all fellow kendo practitioners/members and any visiting Kendo practitioners/members shall not and cannot be held liable should any injury or death howsoever caused during Kendo practise sessions undertaken. MKA, JCKL, its committee members, instructors, coaches, all fellow Kendo practitioners/ members and any visiting Kendo practitioners/members disclaims and accept no liability for any injury or death howsoever caused during Kendo practice sessions undertaken. I hereby voluntarily and irrevocably waive my rights to take action or claim for compensation/ damages for any injury or death howsoever caused during Kendo practise sessions againts MKA, JCKL, its committee members, instructors, coaches, other fellow Kendo practitioners or members and any visiting Kendo practitioners/members.

Signature of Applicant

--- FOR OFFICE USE --Application Approved/Rejected Membership No (if approved)

Date Secretary s Signature

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