Ryukyu Karate-jutsu Kokusai Kenkyukai

Membership Application

International Membership Number........................                         (Applicants must enclose a photograph)

Full Name (Please Print)...................................................................................................................................

Complete Address  (Please Print)......................................................................................................................

Telephone Area Code (..............)    Bus:...............................   Res:................................. e-mail:..........................

Age.........DOB: ...................... (month/day/year).................................. Karate  Style:..........................................

Ht:.................. (cm) Wt:.................. (kg)

Occupation.............................................................................................................................................................

Marital Status: Single/Married (Children)  ............................................................................................................

Education (High School) History..............................................................................................................................
(or Post Secondary Education)

Present grade (kyu/dan) of Karatedo..................................   Issuing  Authority ...................................................
(Please enclose copies of rank & title accreditation & why you are applying for membership with the Society.

Affiliate Organizations/Memberships
(Please list all current affiliate martial arts memberships)

Signature ................................................................................................................. Date............................

"Choosing not to following in the footsteps of the masters but rather seeking what they sought." Matsu Basho