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Registration
Fisrt Name
*
Last Name
*
Photo
*
Address
*
PIN
*
Joining Date
*
Email Address
*
Mobile Number
*
Telephone Number
Date of Birth
*
Place of Birth
Married Status
*
Married
Unmarried
Gender
*
Male
Female
Occupations
Educational Qualification
Any Medical Precautions
Select
Yes
No
Please Provide Details
Do You Know Other Martial Art
Select
Yes
No
Please Provide Details
GR. No.
Class At
Instructor Name
Instructor Code
I undersigned hereby confirm that I had read the
Rules and Regulations
and agree to abide by them so kindly enroll my name as a Student / trainee.
