Genbukan World Ninpo Bugei Federation (G.W.N.F.

)
Application Form
To Grandmaster Tanemura and Group Leader / Dojo-cho, I hereby submit this application form along with my application fee in order to be considered for trial training in the Genbukan World Ninpo Federation. If accepted for training, I will endeavor to uphold all G.W.N.F. rules and conduct myself in a manner befitting the high reputation of the G.W.N.F. I will hold the G.W.N.F. (Dojo / Group) and its members free from all responsibility in any cases of personal injury. Family Name: ____________________ First Name: ___________________ Date of Birth: ____________________ Sex: ___________________ Address: ___________________________________________ ___________________________________________ Telephone (including country code): _________________________ Email Address: _________________________ Personal Record Nationality: Passport No.: Occupation: School Career: Height (cm): Guarantor: Introducer:

Please include 2 passport photos.

Weight (kg):

Blood Type:

Martial Arts Career M.A. Style: Highest Rank: Dojo Name: Instructor: Family Relationship: Relationship: Name: Name: Occupation: Occupation:

Purpose and Motive for Joining

Applicants Signature: _________________________________ Legal Guardian (If younger than 18): __________________________

Date: __________________ Date: __________________