REGISTRATION FORMS

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

 

 

 

 

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

 

ST. PETERSBURG, RUSSIA

 

 

REGISTRATION FORMS

 

 

 

 

 

 

 

 

 

 

 

SOME RECOMMENDATIONS CONCERNING THE FORMS TO BE FILLED OUT

 

The A Form (planned number of participants from a certain country or organization) should be sent ASAP to

 

spbjska@mail.ru, nnk cte@mail.ru and spb@premiera.travel.

 

The other forms, accompanying the payment of the package chosen (either No. 1 or 2) and of the additional period of the stay in the Moscow Hotel, should also be e-mailed to the above addresses

 

Visa valid invitations will IMMEDIATELY follow the Organizers’ receipt of the forms and package payment.

 

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

FORM A

Letter of the participating delegation

COUNTRY_____________________________________________________

ORGANIZATION:_______________________________________________

 

Number of participants

Officials ___

Sportsmen ____

Referees _____

Supporters ____

Family _______

Total_________        

Contacts

Head of the Delegation _________

Head of the Organization _______

Telephone Number ____________

 

 

 

 

SIGNATURE _________________________________DATE________________

E-MAIL: __________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

FORM

Hotel booking (’’Moskva” Hotel)

 

COUNTRY_____________________________________________________

ORGANIZATION:_______________________________________________

 

NAME/SURNAME       PACKAGE 1 or 2            PASSPORT  No.              ROOM (1/2 TWIN or SINGLE)

(delete as apprropriate)                                                                    (delete as apprropriate)

1                     ____________           ____________           __________    _____________________

2              ____________           ____________           __________    _____________________

3                     ____________           ____________           __________    _____________________

4                     ____________           ____________           __________    _____________________

5                     ____________           ____________           __________    _____________________

6              ____________           ____________           __________    _____________________

7              ____________           ____________           __________    _____________________

8              ____________           ____________           __________    _____________________

9           ____________              ____________           __________    _____________________

10            ____________           ____________           __________    _____________________

11             ____________          _          ____________           __________    ______________________

 

 

SIGNATURE __________________________________DATE________________

E-MAIL:___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

FORM C

 

TRAVEL DETAILS

 

COUNTRY_____________________________________________________

ORGANIZATION:_______________________________________________

 

ARRIVAL INFORMATION

 

Plane

 

arrival date ___________________arrival time______________________

airport _______________________flight no. ________________________

airline________________________Number of persons_________________

 

Other means of transportation

 

ARRIVAL DATE:___________ ARRIVAL TIME:______________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

FORM D

 

 

LIST OF SPORTSMEN

 

 

 

 

COUNTRY_____________________________________________________

ORGANIZATION:_______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH           CATEGORY

(dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ _________________

9          ______________________________              _____  _____ ______ __________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ __________________

12        ______________________________           _____  _____ ______ ___________________

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

FORM E

Officials,Referees, Judges and Table Officials

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH                           CATEGORY

(dd/mm/yy)

Officials

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

Referees and Judges

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

Table Officials

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________           _____  _____ ______ ___________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

FORM F

 

SEMINAR

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH                           KYU/DAN

(dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ ___________________

9          ______________________________              _____  _____ ______ ___________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ ___________________

12        ______________________________              _____  _____ ______ ___________________

 

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

FORM G

 

DAN EXAMINATION

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH                           TEST FOR DAN

(dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ ___________________

9          ______________________________              _____  _____ ______ ___________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ ___________________

12        ______________________________              _____  _____ ______ ___________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

 

 

 

 

 

Kata

kihon - gohon – kumite

kihon - ippon – kumite

jiyu - ippon – kumite


Registration Forms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

INDIVIDUAL KATA

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH                           CATEGORY

(dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ ___________________

9          ______________________________              _____  _____ ______ ___________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ ___________________

12        ______________________________              _____  _____ ______ ___________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

TEAM KATA

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                      DATE OF BIRTH           CATEGORY

(dd/mm/yy)

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

 

1          ______________________________          _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

INDIVIDUAL Kihon - Gohon – Kumite

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH                           CATEGORY

(dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ ___________________

9          ______________________________              _____  _____ ______ ___________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ ___________________

12        ______________________________              _____  _____ ______ ___________________

 

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

INDIVIDUAL Kihon - Ippon – Kumite

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                                      DATE OF BIRTH           CATEGORY

`                                                       (dd/mm/yy)

 

1          ______________________________              _____  _____ ______ ___________________

2          ______________________________              _____  _____ ______ ___________________

3          ______________________________              _____  _____ ______ ___________________

4          ______________________________              _____  _____ ______ ___________________

5          ______________________________              _____  _____ ______ ___________________

6          ______________________________              _____  _____ ______ ___________________

7          ______________________________              _____  _____ ______ ___________________

8          ______________________________              _____  _____ ______ ___________________

9          ______________________________              _____  _____ ______ ___________________

10        ______________________________           _____  _____ ______ ___________________

11        ______________________________              _____  _____ ______ ___________________

12        ______________________________              _____  _____ ______ ___________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

INDIVIDUAL Jiyu - Ippon – Kumite

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                      DATE OF BIRTH           CATEGORY

`                                                          (dd/mm/yy)

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

4          ______________________________                   _____  _____ ______    ___________________

5          ______________________________                   _____  _____ ______    ___________________

6          ______________________________                   _____  _____ ______    ___________________

7          ______________________________                   _____  _____ ______    ___________________

8          ______________________________                   _____  _____ ______    ___________________

9          ______________________________                   _____  _____ ______    ___________________

10        ______________________________          _____  _____ ______    ___________________

11        ______________________________                   _____  _____ ______    ___________________

12        ______________________________                   _____  _____ ______    ___________________

 

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

 

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

 

 

 

 

 

 

JIYU-KUMITE 

REGISTRATION FORMS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

INDIVIDUAL Jiyu-Kumite

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                      DATE OF BIRTH           CATEGORY

`                                                          (dd/mm/yy)

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

4          ______________________________                   _____  _____ ______    ___________________

5          ______________________________                   _____  _____ ______    ___________________

6          ______________________________                   _____  _____ ______    ___________________

7          ______________________________                   _____  _____ ______    ___________________

8          ______________________________                   _____  _____ ______    ___________________

9          ______________________________                   _____  _____ ______    ___________________

10        ______________________________          _____  _____ ______    ___________________

11        ______________________________                   _____  _____ ______    ___________________

12        ______________________________                   _____  _____ ______    ___________________

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________

 

 

9th JSKA WORLD KARATE CHAMPIONSHIP

ST. PETERSBURG, RUSSIA

 

TEAM Jiyu-Kumite

REGISTRATION FORM

 

COUNTRY:___________________________________________________

ORGANIZATION______________________________________________

 

NAME/SURNAME                      DATE OF BIRTH           CATEGORY

`                                                          (dd/mm/yy)

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

4          ______________________________                   _____  _____ ______    ___________________

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________                   _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

4          ______________________________                   _____  _____ ______    ___________________

 

1          ______________________________                   _____  _____ ______    ___________________

2          ______________________________          _____  _____ ______    ___________________

3          ______________________________                   _____  _____ ______    ___________________

4          ______________________________                   _____  _____ ______    ___________________

 

 

 

 

 

SIGNATURE __________________________________DATE________________

E-MAIL: ___________________________________________________________