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APPLICATION

PARA Kyorugi Referee Seminar

Please send your completed application form to World Taekwondo by using E-mail account:
(registration@worldtaekwondo.org) – The application deadline is March 1, 2019.
Application for PARA Kyorugi Referee Seminar (TUN)
Please

Attach your

Photo here

Last Name: (Family) Name:


Name
Othman Ahmad
Residence Where you belongs to:
Gender M( X ) / F ( )
(MNA) Jordan Federation
(MM/DD/YEAR)
Nationality Jordanian Date of Birth
05/04/1966

Occupation Taekwondo Club Owner

Kyorugi
040-0013
I.R. Number

Mobile Number ( 00962795503936 )

fightert@yahoo.com
E-mail

Valuable
713555 Amman 11171
Shipping Address

I hereby submit my application to attend the:


The 7th World Taekwondo PARA Kyorugi Referee Seminar to be conducted by WT.
Date: 11 Feb 2019
Signature:

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