Name (Mr / Ms / Mrs)
:__________________________________________________________
Address:_____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Post Code / Zip
Code:________________________________________________________
Tel No:
________________________ Mobile No:______________________
Fax No:_________________________
e-mail: _______________________
Web Site: www.
____________________________________________________________
Date of Birth:______________________
Nationality:
________________________________________________________________
Occupation:________________________________________________________________
Position:__________________________________________________________________
How long have been involved in martial
arts? __________
(Please submit details of your
experience and achievements in Kickboxing or other martial arts
on a separate document )
Please list below any other martial
arts organisations, which you represent in your Country
_____________________________________________________
_____________________________________________________
_____________________________________________________
General Information
How many Kickboxing Clubs / Camps /
Gyms are you in contact with on a regular basis within your
country? ________
How many Kickboxing events have you
promoted in your Country?_________________
- Name Them if Any - Location and Dates;
- _________________________________ ____/____/____
- _________________________________ ____/____/____
- _________________________________ ____/____/____
- _________________________________ ____/____/____
- _________________________________ ____/____/____
Why do you want to be part of the
WKF? _________________________________________
Do you suffer from any disease,
illness or disability? If yes please give details.
______________________________________________________________
______________________________________________________________
I wish to apply for the position
of WKF National Representative for _________________
