Karate Club Name: *

Registration Date *

Name *

নাম (বাংলা)

Father Name

Mother Name

Present Address *

Permanent Address *
Same as Present Address

Nationality *

NID (if available)

Date of Birth *

Birth Certificate No *

Mobile *

WhatsApp Number *

Mobile (Guardian) *

Email *

Gender *

Blood Group *

Passport No

Profession

Religion *

Education

Shift *

Registration No.

Reason of Learning

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CONDITIONS

You must obey all rules and regulations of Bangladesh Karate Academy.
Classes should be attended regularly.
Three weeks absence will cancel registration.
All powers are of the sensei.
Lack of punctuality is punishable.
Treatment for any injury to be arranged by the students. First aid to be provided by the Organization. I’m signing with promise to follow aforesaid instructions.
প্রশিক্ষণ হতে কোন ছাত্র/ছাত্রী অব্যহতি চাইলে বি. কে. এ কর্তৃপক্ষকে দরখাস্ত-এর মাধ্যমে অবহিত করতে হবে।

I hereby declare that all the information provided is correct and accept all the conditions.