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ASIAN KARATEDO FEDERATION

( SEAKF - Region )
No
.

/
201
5
Registration Form for Coach
Accreditation
License renewal

AKF ID
No.

First Name:

Photo

Family
Name:
Nationality:

Sex:

DOB
:

Age
:

Address:

Tel:

Fax:

Cellular:

E-mail:

NF
:

Name of National Federation President or General


Secretary

Signature of National Federation President or General


Secretary

Date:

(CLOSING DATE - 22 March, 2015)

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