11TH GENERAL INSTRUCTOR COURSE
KRAV MAGA TRAINING INDIA
Trainee Registration Form
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
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Please Select
Male
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Date of Birth
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Day
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Month
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Email Address
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Contact Number
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Country Code
Phone Number
Nationality
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Passport / Aadhaar No
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Profession
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Criminal Record / Court Cases
*
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Yes
No
Health / Physical Issues if Any
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T-Shirt Size
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M
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Passport/Aadhaar
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Upload Passport Size Photo
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Medical Fitness Certificate ( Mentioning that you are fit to go through any physical training : Stamp & Sign by Doctor / Physician )
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I declare that I am not & was never part of any Anti-Social elements which are directly or indirectly threat to Republic of India . I am joining this course for the purpose of educational & self defense awareness , I will not use any of the skills acquired during the course to harm anyone.
*
I Agree
Payment Method
Pay INR 40000 & Upload Payment Screenshot Then Click Submit.
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