SENSEI SANTU DAS  
President of (S.S.S.S.M.A.)
President of East Medinipur (S.S.S.S.M.A.)
3rd Dan Black Belt (AISSKF), 2nd Dan Black Belt (NATIONAL)
National Judge (A Grade), National Coach, Examiner
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TOURNAMENT FORM

TOURNAMENT FORM

*Type Student Roll No. :

1. *Event No :  
2. *Entry Fees :
3.   Name of The Dojo/School :
4.   Name of The Participant :
5.   Date of Birth :
6.   Branch :
7.   Guardian's Name :
6. *Present Rank :
7. *Instructor's Name :
8. * Payment Type :


* All Players should be in Clean Karate-do Uniform and AKA/AAO Belts Otherwise Participants will be Disqualified.
* Organizing Committee Reserves The Right To Accept Or Refuse The Entry of any Individual or Team. Entries Must
    Be Deposited Within 3rd Sep, 2023.

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Admission Form Student Verify E-mail : senseisantudas@nbtmce.in
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