Declaration Form for Muaythai Athletes
2
14 th IFMA-MFI National Muaythai Championship 2013 July 25 – 28, 2013 At Villupuram, Tamil Nadu Organized by Tamil Nadu Amateur Muaythai Association Sanctioned by Muaythai Federation of India (MFI) Under the patronage of International Federation of Muaythai Amateur (IFMA), World HQs, Bangkok, Thailand MFI is the only National Muaythai Governing Body Recognized by IFMA, World Muaythai Council (WMC) and Federation of Amateur Muaythai of Asia (FAMA) National HQs: PO Box 107, Kohima 797001, Nagaland, INDIA MFI Official Website: www.mfimuaythaiindia.org Email: [email protected] (M) (91) 9774087456 MFI/IFMA-INDIAMFI-13/VILL-TN/13 April 15, 2013 Declaration Form for Muaythai Athlete (Competitor) Full Name of Competitor………………………………………………………………………. Father’s Name ……………………………………………………………………………………… Address……………………………………………………………..…………………………………… Date of Birth ………………………….. M.F.I. Card no. ……………………………………… Senior Male Senior Female Junior Male Junior Female Sub-Junior Boy Sub-Junior Girl Weight………………………………………Blood Group………………………………………… Name of the Association…………………………………………………………………………… E-Mail ………………………………Mobile no ………………..…………………………………… Paste your Color passport photograph
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Declaration Form for Muaythai Athletes for 14th IFMA-MFI National Muaythai Championship 2013
Transcript of Declaration Form for Muaythai Athletes
14th IFMA-MFI National
Muaythai Championship 2013 July 25 – 28, 2013
At Villupuram, Tamil Nadu Organized by Tamil Nadu Amateur Muaythai Association
Sanctioned by Muaythai Federation of India (MFI) Under the patronage of International Federation of Muaythai Amateur (IFMA), World HQs, Bangkok, Thailand
MFI is the only National Muaythai Governing Body Recognized by IFMA, World Muaythai Council (WMC) and Federation of Amateur Muaythai of Asia (FAMA)
National HQs: PO Box 107, Kohima 797001, Nagaland, INDIA MFI Official Website: www.mfimuaythaiindia.org Email: [email protected] (M) (91) 9774087456
MFI/IFMA-INDIAMFI-13/VILL-TN/13 April 15, 2013
Declaration Form for Muaythai Athlete (Competitor)
Full Name of Competitor………………………………………………………………………. Father’s Name ……………………………………………………………………………………… Address……………………………………………………………..…………………………………… Date of Birth ………………………….. M.F.I. Card no. ……………………………………… Senior Male Senior Female Junior Male Junior Female Sub-Junior Boy Sub-Junior Girl Weight………………………………………Blood Group………………………………………… Name of the Association…………………………………………………………………………… E-Mail ………………………………Mobile no ………………..……………………………………
Paste your Color passport photograph
14th IFMA-MFI National
Muaythai Championship 2013 July 25 – 28, 2013
At Villupuram, Tamil Nadu Organized by Tamil Nadu Amateur Muaythai Association
Sanctioned by Muaythai Federation of India (MFI) Under the patronage of International Federation of Muaythai Amateur (IFMA), World HQs, Bangkok, Thailand
MFI is the only National Muaythai Governing Body Recognized by IFMA, World Muaythai Council (WMC) and Federation of Amateur Muaythai of Asia (FAMA)
National HQs: PO Box 107, Kohima 797001, Nagaland, INDIA MFI Official Website: www.mfimuaythaiindia.org Email: [email protected] (M) (91) 9774087456
DECLARATION
We, the undersigned, do hereby solemnly declare that we would abide by the rules and regulation of the IFMA/MFI while participating in the 14th IFMA-MFI National Muaythai Championship 2013 at Villupuram from July 25 to 28, 2013 and be solely held responsible for any damage or injuries if any to our Muaythai athlete who has given his/her declaration herewith with his/her signature appended in course of the fight inside the ring.
RECOMMENDED BY
Secretary/President Signature of Participant Name of Association
……………………………………
Signature of Guardian
