|
AJJBWF REGISTRATION FORM FOR REFEREE COURSE For Referees only (Ju-Jitsu) |
NAME: MR/MISS/MRS._____________________________________________________
DATE OF BIRTH__________________________________________________________
COUNTRY/FEDERATION__________________________________________________
ADDRESS_________________________________________________________________
E-MAIL___________________________________________________________________
NATIONAL TELEPHONE________________________BELT DEGREE____________
FAX #__________________________________________
DATE FOR NATIONAL REFEREE LICENSES________________________________
DATE FOR COMPETITIONS IN WHICH YOU HAVE PARTICIPATED AS A REFEREE_________________________________________________________________
_______________________________________________________________________
WANTS TO PARTICIPATE AS:
REFEREE DUO: YES______NO______REFEREE FIGHTING YES____NO_____
RECOGNITION FROM NATIONAL FEDERATION TO BE SIGNED & STAMP BY
THE PRESIDENT________________________________________________________
|
TO BE SENT TO: |
Kazim Ali Changezi- Director Referee
21-Munawar Chamber, 1-Mozang Road,
Lahore-Pakistan
Tel: +92427313383
Fax:+92427237875
E-mail: info@ajjbwf.org
15th June, 2008 at the latest