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Transcript of CONDUCTED BY SHITO RYU SEIKO KAI KARATE DO...
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
ORGANIZING COMMITTEE OFFICE Address: C-30, 2nd Floor, Hari Nagar, New Delhi – 110064 India
Phone No- +91-9811144599, E Mail – [email protected] , Website: www.karateindia.net
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
ORGANIZING COMMITTEE OFFICE Address: C-30, 2nd Floor, Hari Nagar, New Delhi – 110064 India
Phone No- +91-9811144599, E Mail – [email protected] , Website: www.karateindia.net
Invitation Letter
Dear Friends,
I feel pleasure to invite you and your team to take part in 9th
All India
Independence Cup Karate Championship to be held at Talkatora Indoor Stadium,
New Delhi, India from 16th to 18th of August, 2013.
This is a consecutive 9th
Independence Cup Championship which was started in
the year 2005. Every time with big number of participation by different state
Karate players as well as Police and Para Military Forces, the Independence Cup
was a super hit event.
Please find attached the detailed bulletin along with Event categories, Entry Form and Term of
Responsibility.
I believe this tournament will provide a great exposure to your Karatekas in terms of evaluate their
skills and excellence and to gain experience of competing with National/International level of
players under the WKF/AKF qualified Referees & Judges.
With best regards,
Yours in Karate Do Promotion
(Shihan Bharat Sharma)
Black Belt 6th
Dan from Japan & WKF
Chief Instructor/Technical Director & Examiner – India
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
RULES & REGULATIONS/DETAILS OF THE CHAMPIONSHIP
• The championship will be conducted as per new WKF Rules.
• Entry Fees INR 3500.00 only per player/official will be charged from each participant (Including of
Triple sharing A/C Hotel Accommodation from 15th to 19th of August, 2013, Breakfast/Lunch &
Dinner on 16th, 17th & 18th
of August, 2013, Participation in one event Kumite or Kata). INR 500 will
be charged extra for next event.
• Entry Fees INR 3000.00 only per player/official will be charged from each participant (Including of
Triple sharing Non A/C Hotel Accommodation from 15th to 19th of August, 2013, Breakfast/Lunch &
Dinner on 16th, 17th & 18th
of August, 2013, Participation in one event Kumite or Kata). INR 500 will
be charged extra for next event.
• Entry Fees INR 1000.00 only per player per event will be charged from each participant without
lodging & boarding.
• Each event will have 1 Gold, 1 Silver & 2 Bronze Medals; the matches will be on knock out basis.
• Winners will be awarded with beautiful Medals & Certificates.
• All participants/officials/R/J will be awarded with beautiful Certificates & Momentous.
• Organizing Committee has the right to accept or refuse the entry of any team or individual without
explaining any reasons.
• Organizing Committee has the right to alter/cancel/merged any event in case of insufficient entries.
• Organizing Committee/Player/Official or any individual will not be held responsible in case of any
injury during the course of championship although the best possible First Aid will be provided.
• No protest will be entertained in regard with the decision of Referees/Judges.
• Players must wear approved protective guards.
With best regards,
Yours in Karate Do Promotion
(Shihan Bharat Sharma) Black Belt 6
th Dan from Japan, WKF & AIKF
Chief Instructor/Technical Director & Examiner – India
Accredited Coach of World Karate Federation
Ph: +91-09811144599, 09911144599,
E-mail: [email protected], [email protected]
Website: www.karateindia.net
ON THE 66ON THE 66ON THE 66ON THE 66
THTHTHTH ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
1. COMPETITION DATE & VENUE
The 9th
All India Independence Cup Karate Championship will be held at Talkatora Indoor Stadium, New
Delhi from 16th to 18th of August, 2013.
Talkatora Indoor Stadium is an AC indoor stadium located in New Delhi, India. The stadium is owned by
the New Delhi Municipal Corporation (NDMC). The stadium will have one competition ring and four
warm-up areas. The boxing events for the Commonwealth Games in 2010 will be held in this stadium.
This stadium can accommodate more than 3,000 spectators, and equipped with referee rest rooms,
athletes changing rooms, VIP Lounge and meeting rooms.
2. COMPETITION RULES
The updated New WKF rules will be applied in the championships.
3. CATEGORIES & AGE
A Senior
� Age: +18
� Individual Kumite : Female: -45kg, -50kg, -55kg, -61kg, -68kg, +68kg
: Male: -50kg, -55kg, -60kg, -67kg, -75kg, -84kg, +84kg
� Team Kumite : Female & Male
� Individual Kata : Female & Male
� Team Kata : Female & Male
B Junior
� Age: Age 16/17 year.
� Individual Kumite : Female: -40kg, -48kg, -53kg, -59kg, +59kg
: Male: -50kg, -55kg, -61kg, -68kg, -76kg, +76kg
� Individual Kata : Female & Male
C Cadet
� Age: 14/15year.
� Individual Kumite : Female: -40kg, -47kg, -54kg, +54kg
: Male: -45kg, -52kg, -57kg, -63kg, -70kg, +70kg
� Individual Kata : Female & Male
D Sub Junior
� Age: Under 14 Year
� Individual Kumite : Female: Up to 6yr, 7yr, 8yr, 9 yr, 10 yr, 11 yr, 12 yr and13 yr.
: Male: Up to 6yr, 7yr, 8yr, 9 yr, 10 yr, 11 yr, 12 yr and13 yr.
Individual Kata : Female Up to 8yr ,9 yr to 11 yr, 12 yr to 13 yr.
: Male Up to 8yr ,9 yr to 11 yr, 12 yr to 13 yr.
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
5. EVENTS PROGRAMME (Tentative)
Date: August 15, 2013 THURSDAY
Time Event Venue Arrival of Officials, Athletes and delegations; Hotel
Date: August 16, 2013 FRIDAY
Time Event 07.00- Breakfast Stadium
0800-0900 Weigh-In (Sub Junior & Cadet) Stadium 0900-1300 Sub. Junior Under 14year
Individual Kata Girls: Up to 8yr, 9 to 11 yr, 12 yr to 13 yr.
Boys: Up to 8yr, 9 to 11 yr, 12 yr to 13 yr.
Cadet Male/Female Individual Kata
Stadium
1300-1400 Lunch Stadium 1400-2000 Sub Junior Girls Kumite: All age categories.
Sub Junior Boys Kumite: All age categories.
Cadet Male Kumite: -45kg,-52kg,-57kg,-63kg,-70kg,+70kg
Cadet Female Kumite: -40kg,-47kg,-54kg,+54kg
Stadium
2000-2100 Dinner Stadium Date: August 17, 2013 SATURDAY
Time Event Venue 0700- 0800-0900
Breakfast
Weigh-In (Junior)
Stadium
0900-1600 Junior Male/Female Kata
Junior Male Kumite -50kg, -55kg,-61kg,-68kg,-76kg, +76kg.
Junior Female Kumite -40kg, -48kg,-53kg,-59kg,+59kg
Stadium
1300-1400 Lunch Stadium 1600-2000 Senior M/F Kata
Senior M/F Team Kata
Awarding Ceremony
Stadium
2000-2100 Dinner Stadium Date: August 18, 2013 SUNDAY
Time Event Venue 0800-0900 Weigh-In (Senior) Stadium
0900-1300 Senior Male Kumite -50kg, -55kg, -60kg, -67kg. Senior Female Kumite -45kg, -50kg, -55kg, -61kg.
Stadium
1300-1400 Lunch Stadium 1400-1900 Senior Male Kumite -75kg, -84kg, +84kg
Senior Female Kumite -68kg, +68kg
Awarding/Closing Ceremony
2000-2100 Dinner Stadium Date: August 19, 2013/ MONDAY
Time Departure Venue
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
ENTRY FORM A
CLUB/STATE
NAME OF STYLE ORGANIZATION
ADDRESS
TELEPHONE
FAX
WEBSITE
PLEASE SPECIFY THE NUMBER OF:
DELEGATION LEADER
REFEREE
COACH
OFFICAL
COMPETITORS
SENIOR
JUNIOR
CADET
SUB JUNIOR
MALE
FEMALE
TOTAL
Name of the Leader of the Delegation/Instructor: __ ___ _____
Signature & Stamp : ___________________________ Date: ___ _______________
Must be typed and returned on or before August 05, 2013 E-mail: [email protected] Fax No: +91+11-25494617
ENTRY FORM B
MALE INDIVIDUAL KUMITE
-55KG
Family Name ____________________ Given Name ____________________ Age: ____________
Date of Birth: ________________________ (DD/MM/YY) Passport No.: ________________________
Photo
-60KG Family Name _ ___________ Given Name _ ___________ Age: __ __________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
-67KG
Family Name __ _____________
Given Name _ ________
Age: ____________
Date of Birth: __ _______ (DD/MM/YY) Passport No.: ___ _______
Photo
-75KG
Family Name ____________________
Given Name ____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-84KG Family Name _ ______________
Given Name _ ______________
Age: ___________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
+84KG
Family Name
____________________ Given Name
_____ ______________ Age: _____ _______
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Senior Categories
MALE TEAM KUMITE
Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name _ ___________
Given Name _ ___________ Age: __ __________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name __ _____________
Given Name _ ________ Age: ____________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
Family Name ____________________ Given Name ____________________ Age: ____________
Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name _ ______________
Given Name _ ______________
Age: ___________
Date of Birth: ________________________ (DD/MM/YY) Passport No.: ________________________
Photo
Senior Categories
MALE INDIVIDUAL KATA
MALE TEAM KATA
Family Name ____________________
Given Name ____________________
Age: ____________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name _ ___________ Given Name _ ___________
Age: __ __________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name __ _____________ Given Name _ ________ Age: ____________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
Family Name
____________________ Given Name
____________________
Age: ____________ Date of Birth: _______________________
(DD/MM/YY)
Passport No.: ________________________
Photo
Senior Categories
FEMALE INDIVIDUAL KUMITE
-45KG
Family Name ___________________
Given Name ___________________
Age: ____________
Date of Birth: ____________ _______ (DD/MM/YY)
Passport No.: ________________________
Photo
-50KG Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: _______________________
(DD/MM/YY) Passport No.: ________________________
Photo
-55KG Family Name _____ _____________ Given Name
_____ _____________ Age: ___________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-61KG Family Name ____________________
Given Name ____________________
Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-68KG Family Name
____________________ Given Name
____________________ Age: ____________
Date of Birth: _______________________
(DD/MM/YY)
Passport No.: ________________________
Photo
Senior Categories
+68KG Family Name
____________________ Given Name
____________________ Age: ____________
Date of Birth: _______________________
(DD/MM/YY)
Passport No.: ________________________
FEMALE TEAM KUMITE
FEMALE INDIVIDUAL KATA
FEMALE TEAM KATA
1.
2.
3.
Senior Categories
Family Name ___________________
Given Name ___________________ Age: ____________ Date of Birth: ____________ _______ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: _______________________
(DD/MM/YY) Passport No.: ________________________
Photo
Family Name
_____ _____________
Given Name _____ _____________
Age: ___________ Date of Birth: ________________________
(DD/MM/YY)
Passport No.: ________________________
Photo
Family Name ____________________ Given Name ____________________
Age: ____________
Date of Birth: _______________________ (DD/MM/YY) Passport No.: ________________________
Photo
MALE INDIVIDUAL KUMITE
Junior Categories
-55KG Family Name ____________________ Given Name ____________________ Age: ____________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-61KG
Family Name _ ___________
Given Name _ ___________
Age: __ __________ Date of Birth: __ _____
(DD/MM/YY) Passport No.: ________________________
Photo
-68KG
Family Name __ _____________
Given Name _ ________
Age: ____________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
-76KG Family Name ____________________ Given Name
____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
+76KG
Family Name _ ______________
Given Name
_ ______________ Age: ___________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
MALE INDIVIDUAL KATA
MALE TEAM KATA
Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name __ _____________
Given Name
_ ________ Age: ____________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
Family Name
____________________ Given Name
____________________ Age: ____________ Date of Birth: _______________________
(DD/MM/YY)
Passport No.: ________________________
Photo
Family Name _ ______________ Given Name _ ______________ Age: ___________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Junior Categories
FEMALE INDIVIDUAL KUMITE
Junior Categories
-48KG Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-53KG
Family Name _ ___________ Given Name _ ___________
Age: __ __________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
-59KG
Family Name __ _____________ Given Name _ ________ Age: ____________ Date of Birth: __ _____ (DD/MM/YY) Passport No.: ___ _____
Photo
+59KG Family Name ____________________ Given Name
____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
FEMALE INDIVIDUAL KATA
FEMALE TEAM KATA
Family Name ____________________
Given Name ____________________
Age: ____________ Date of Birth: ________________________
(DD/MM/YY) Passport No.: ________________________
Photo
Family Name __ _____________
Given Name _ ______ Age: ____________ Date of Birth: __ _____ (DD/MM/YY)
Passport No.: ___ _____
Photo
Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: _______________________
(DD/MM/YY) Passport No.: ________________________
Photo
Family Name _ ______________
Given Name _ ______________
Age: ___________ Date of Birth: ________________________
(DD/MM/YY) Passport No.: ________________________
Photo
Junior Categories
MALE INDIVIDUAL KUMITE
Cadet Categories
-52KG Family Name ____________________
Given Name ____________________
Age: ____________ Date of Birth: ________________________
(DD/MM/YY) Passport No.: ________________________
Photo
-57KG Family Name
_ ___________ Given Name
_ ___________
Age: __ __________ Date of Birth: __ ______
(DD/MM/YY)
Passport No.: ________________________
Photo
-63KG
Family Name __ _____________ Given Name _ ________ Age: ____________
Date of Birth: __ ______ (DD/MM/YY) Passport No.: ___ ________
Photo
-70KG Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
+70KG
Family Name _ ______________
Given Name _ ______________
Age: ___________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
FEMALE INDIVIDUAL KUMITE
CADET MALE INDIVIDUAL KATA CADET FEMALE INDIVIDUAL KATA
Cadet Categories
-47KG
Family Name ____________________
Given Name
____________________ Age: ____________
Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
-54KG
Family Name _ ___________
Given Name _ ___________
Age: __ __________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
+54KG Family Name __ _____________ Given Name _ ________ Age: ____________ Date of Birth: __ _______ (DD/MM/YY)
Passport No.: ___ _______
Photo
Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name _ ______________ Given Name _ ______________
Age: ___________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
MALE INDIVIDUAL KUMITE
-8Year Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
9Year
Family Name _ ___________
Given Name _ ___________ Age: __ __________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
10Year
Family Name __ _____________
Given Name _ ________
Age: ____________ Date of Birth: __ _______ (DD/MM/YY)
Passport No.: ___ _______
Photo
11Year Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
12Year
Family Name _ ______________
Given Name _ ______________
Age: ___________
Date of Birth: ________________________ (DD/MM/YY) Passport No.: ________________________
Photo
13Year
Family Name ____________________
Given Name _____ ______________ Age: _____ _______ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Sub Junior Categories
FEMALE INDIVIDUAL KUMITE
Sub Junior Categories
-8Year Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
9Year
Family Name _ ___________
Given Name _ ___________ Age: __ __________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
10Year
Family Name __ _____________
Given Name _ ________ Age: ____________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
11Year Family Name ____________________ Given Name ____________________ Age: ____________
Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
12Year
Family Name _ ______________
Given Name _ ______________
Age: ___________
Date of Birth: ________________________ (DD/MM/YY) Passport No.: ________________________
Photo
13Year Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
MALE INDIVIDUAL KATA
Up to 8Year Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
9 to 11Years
Family Name _ ___________
Given Name _ ___________ Age: __ __________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
12 to 13 Years
Family Name __ _____________
Given Name _ ________
Age: ____________ Date of Birth: __ _______ (DD/MM/YY)
Passport No.: ___ _______
Photo
Family Name ____________________ Given Name ____________________ Age: ____________ Date of Birth: _______________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Family Name
_ ______________ Given Name
_ ______________
Age: ___________ Date of Birth: ________________________
(DD/MM/YY)
Passport No.: ________________________
Photo
Family Name ____________________
Given Name _____ ______________ Age: _____ _______ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
Sub Junior Categories
FEMALE INDIVIDUAL KATA
Sub Junior Categories
Up to 8Year Family Name ____________________ Given Name ____________________
Age: ____________ Date of Birth: ________________________ (DD/MM/YY)
Passport No.: ________________________
Photo
9 to 11 Years
Family Name _ ___________
Given Name _ ___________ Age: __ __________
Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ________________________
Photo
12 to 13 Years
Family Name __ _____________
Given Name _ ________ Age: ____________ Date of Birth: __ ______ (DD/MM/YY)
Passport No.: ___ ______
Photo
ON THE 66ON THE 66ON THE 66ON THE 66THTHTHTH
ANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCEANNIVERSARY OF INDIAN INDEPENDENCE
9TH ALL INDIA INDEPENDENCE CUP KARATE CHAMPIONSHIP FROM 16TH TO 18TH OF AUGUST, 2013 AT TALKATORA INDOOR STADIUM, NEW DELHI
CONDUCTED BY
SHITO RYU SEIKO KAI KARATE DO INDIA MEMBER: ALL INDIA KARATE DO FEDERATION
RECOGNIZED BY: GOVT. OF INDIA (MINISTRY OF YOUTH AFFAIRS & SPORTS), WKF, AKF & SAKF
TERM OF RESPONSIBILITY
I, _______________________________________________ the undersigned, as the Chief of Delegation of my
team, duly enrolled to participate in the 9th All India Independence Cup Karate Championship, which will be held in New
Delhi, India at Talkatora Indoor Stadium from 16th to 18th of August, 2013, with full knowledge of the Statutes, the Rules
and the Norms of the Shito Ryu Seiko Kai Karate Do India, pledge myself to faithfully accomplish the regulations of this
before mentioned entity, and I take any and all administrative, civil and criminal responsibilities of whatever happens to our
athletes, coaches and other members of our delegation participating in this championship, before, during and after the
competition, such as physical injuries, personal expenses, or monetary debts and casual material damages to the hotels,
the venue, means of transportation, departure on time, etc.
Furthermore, I exempt from any legal, civil or criminal responsibilities the organizers of the Championships, the Shito Ryu
Seiko Kai Karate Do India , its members/office bearers, its directors, as well as any person, company, or entity related to
the event (sponsors, public and private entities).
I authorize the organizers of the event to use images, photos and the names of our competitors and other members of our
delegation (as considered necessary) for the sport activities and publications of karate, related to the event, without any
monetary compensation.
Dated: Signature & Seal of Leader of the Delegation
Please fill out this form and send it back to the Organizing Committee on or before August 05, 2013 at
E-mail: [email protected] Fax No: +91+11-25494617