AFFILIATION APPLICATION FORM

COBRA INTERNATIONAL COMBAT KARATE FEDERATION INDIA

REGISTERED BY GOVERNMENT OF INDIA

Email: cickfi.com@gmail.com Website: www.cickfi.com

MEMBERSHIP / AFFILATION APPLICATION FORM

Name of the Association / Club

Name of President:

Mobile Number

Email :

Name of General Secretary

Mobile Number

Email :

Correspondence Address :

State

Pin Code

Declaration

Undertaking: I/We the undersigned hereby declare and confirm that the information furnished here are true and Membership/Affiliation of our Association/Club from Cobra International Combat Karate Federation India (CICKFI) is subject to abide by the rules and regulations and terms & conditions of CICKFI and the same to be followed by us and our members. I/We also understand that CICKFI reserved the right to accept or refuse the application and cancel membership any time in case of found involved in any anti-CICKFI/Combat Karate activity or against the rules and regulations of CICKFI and against the interest of Combat Karate Sports.

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