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Form No.
NORTH AMERICA OYAMA KARATEDO UNION:KYOKUSHIN
INTERNATIONAL
OATH & MEMBERSHIP REQUEST FORM
I, (full name)______________________________________________________ promise to uphold NOKU policies and
rules and will try to behave well as a representative of NOKU-Kyokushin Group in my daily life. I promise not to
disgrace the name of my school and organization and will practice Kyokushin Karate to the best of my abilities.
Should an accident occur, causing bodily harm or injury, I promise not to hold NOKU liable, nor the branch chiefs,
branch school, or the heirs of said organization in which I belong to liable. I hereby swear to faithfully keep to my
duties.
Applicant Name:
Month:
Date:
()
Current Age:
Sex
()
Education/Occupation:
*Name of School or Company
City/Country:
Current Address:
City: ________________________________________
()
Country:
Telephone Number:
Email Address:
(mail )
Month:
Current Rank_______________________________________________
Height:
Date:
(cm)
Weight:
-
(kg)
Chest Girth:
(cm)