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Admission Form

Please provide accurate information for the official record of the Nepal Kyokushin Seishin Kai Karate Association.

Full Name

Date of Birth

Nationality

Occupation

Email Address

Personal Phone No.

Parent / Guardian Name

Relation

Parent's Contact No.

Permanent Address

Temporary / Current Address

Blood Group

Height (cm/ft)

Weight (kg)

ID Document Type

Citizenship Passport

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Current Belt Rank

Target Dojo Branch

By submitting this form, you certify that all information is true and accurate. You agree to abide by the Dojo Kun and regulations of WKKO-Nepal.