CONDUCTED BY SHITO RYU SEIKO KAI KARATE DO...

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ON THE 66 ON THE 66 ON THE 66 ON THE 66 TH TH TH TH ANNIVERSARY OF INDIAN INDEPENDENCE ANNIVERSARY OF INDIAN INDEPENDENCE ANNIVERSARY OF INDIAN INDEPENDENCE ANNIVERSARY OF INDIAN INDEPENDENCE 9 TH 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, 2 nd Floor, Hari Nagar, New Delhi – 110064 India Phone No- +91-9811144599, E Mail – [email protected] , Website: www.karateindia.net

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

EMAIL

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