Genbukan App
Genbukan App
Genbukan App
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Application Form
To Grandmaster Tanemura and Group Leader / Dojo-cho, I hereby submit this application form along with my application fee in order to be considered for trial training in the Genbukan World Ninpo Federation. If accepted for training, I will endeavor to uphold all G.W.N.F. rules and conduct myself in a manner befitting the high reputation of the G.W.N.F. I will hold the G.W.N.F. (Dojo / Group) and its members free from all responsibility in any cases of personal injury. Family Name: ____________________ First Name: ___________________ Date of Birth: ____________________ Sex: ___________________ Address: ___________________________________________ ___________________________________________ Telephone (including country code): _________________________ Email Address: _________________________ Personal Record Nationality: Passport No.: Occupation: School Career: Height (cm): Guarantor: Introducer:
Weight (kg):
Blood Type:
Martial Arts Career M.A. Style: Highest Rank: Dojo Name: Instructor: Family Relationship: Relationship: Name: Name: Occupation: Occupation:
Applicants Signature: _________________________________ Legal Guardian (If younger than 18): __________________________