INDIVISUAL MEMBERSHIP FORM | Okinawan Karate in Pakistan

CLUB/ACADEMY/DOJO MEMBERSHIP FORM

Please submit this membership form along with Rs.10,000./-PKR fee direct to the OTKUP in Head Quarter at Lahore.

For any further inquiries, please contact at +923008418384

Name

Phone Number

Date of Birth

Occupation

Affiliated Club and Style

Disease or disability (if any):

Permanent Address:

Temporary Address:

Club/Academy/Dojo Name

Person In-charge

Contact Number

Name of Chief Coach

Style & Grade

Contact Number:

Dojo Address

Dojo Office Address