TAEKWONDO ASSOCIATION OF

DAMAN & DIU

Affilated to :- Taekwondo Federation of India World
Taekwondo,
Asian Taekwondo Union ,Indian Olympic Association
Regd.no.06/2018[ Registrar of societies
daman ]
Office:- Ho.No.13/170 Zapabar,Nani Daman,Daman
Mob:-,9377632395, 9113323749 Email:-
taekwondodamandiu1976@gmail.com
President General Secretary
Treasurer
Eurico D. Rosario Chandeshwar Kumar
Aleaxender Thomas
HONOUR MARTIALARTS ACADEMY OF DAMAN

TAEKWONDO COLOUR BELT TEST 19/08/2018

______________________
FULL NAME
FATHER’S NAME
CURRENT BELT
DATE OF BIRTH
DATE OF LAST EXAM
TEST FEE
PHONE
TFI ID CARD NO.
BLOOD GROUP
SCHOOL NAME-
AADHAR NUMBER---

Disclaimer:
I Recognize That Belts And Certificates (If Applicable) Are Awarded
Only When Specific Standards Of Performance Are Met. In The Event
That I May Not Perform To The Satisfaction Of The Testing Official(S),
Promotion May Be Delayed Until Further Progress Has Been
Demonstrated. We Fully Permit My Son/Daughter/Spouse Taking The
Training And Participating In Competitions. In Case Of Any Injury By
Accident Or Otherwise During The Training Or Competitions We Shall
Not Have/Make Any Claims To The Trainer Or To HONOUR
MARTIAL ARTS ACADEMY. To The Best Of Our Knowledge The
Above Information Is Complete And Accurate. We Have Read,
Understood And Accept The Rules And Regulations Of
TAEKWONDO ASSOCIATION OF DAMAN & DIU And Pledge To
Abide By Them.

Date:_____________________ Parent’s
Signature:___________________________

ALEXANDER THOMAS PHILIA

ALEXANDER

TAEKWONDO COACH TAEKWONDO

BELT EXAMINER
9377632395
LAST DATE OF FORM—15/08/2018