INTERNATIONAL MARTIAL ARTS FEDERATION OF THE DEAF

REQUEST TO OBTAIN THE INTERNATIONAL CARD

SURNAME :
FIRST NAME :
ADDRESS :
CITY :
COUNTRY :
PHONE :
FAX :
E-MAIL :
DATE OF BIRTH :
PLACE OF BIRTH :
STATURE :
WEIGHT :
AGE :
MALE :
FEMALE :
MARTIAL ARTS SPECIALITY :
STYLE'S NAME :
DEGREE OR COLOR'S BELT :
SPECIAL QUALIFICATIONS OBTAINED :
PHONE OR FAX OR E-MAIL YOUR CLUB :
NAME YOUR CLUB :
ADDRESS YOUR CLUB :
PHONE OR FAX OR E-MAIL YOUR INSTRUCTOR :
NAME YOUR FEDERATION :
ADDRESS YOUR FEDERATION :
PHONE OR FAX YOUR FEDERATION :
E-MAIL YOUR FEDERATION :

Pease you must write completly your Curriculum story :

FOR REGISTRATION INFORMATION BY MAIL !

Please return the filled out registration form legibly. You must send us by postal mail the full document of your attesting qualifications such as a copy of your highest degree rank or a certification copy from your responsible national federation. You must be payment for new IMAFD member for each 2 years (25 USD). We cannot proceed or honor your request or application without these supporting documents.

For registration information mailed

By attention to write directly this precisaly address of the I.M.A.F.D., many thanks in advance.

Mr. Francesco Paolo Faraone
C/O International Martial Arts Federation of the deaf
Casella Postale Nr. 14227
00149 ROME - TRULLO / ITALY