TAEKWONDO FEDERATION OF INDIA

(President: Harish Kumar IPS (Retd) Secretary General: T. Praveen Kumar) Affiliated to: WTF; ATU; CTU; IOA Recognized by: DYAS (GOI)

(See Circular-22 www.tfiindia.com Rules>Technical)

STANDARDIZED REGISTRATION FORM

TO BE FILLED IN BY CANDIDATE
(PARENT / GUARDIAN IN CASE OF MINOR)

(USE ONLY CAPITAL LETTERS)

PHOTOGRAPHS

Athlete (Tick) CB BB DAN

Referee

Class
Two (2) One to be Pasted One to be attached With Name ; F. Name & District on reverse

NR

IR

ID Card No. (If any) Kukkiwon Cert. No.

(For DAN Promotion; NR & IR) TFI ID Card Fee: Rs 200/= Fields Marked by (*) are Mandatory

Date (DDMMYR)

Personal Information

Athlete
First Name:*

Last Name:*

Father
First Name:*

Last Name:* D D Date if Birth:* M M Y E A R Gender:* Male (Tick) Female

Permanent Address
Address:*

(Permanent address cant be changed, Can only be changed by TFI)

District:*

State:*

Pin code:

Correspondence Address
Address:*

Tick if same as above

District:*

State:*

Pin code:

Other Information
Landline No: STD CODE Mobile No: Email Id: PHONE NUMBER

@
Passport: (Tick) YES NO Physical:* YES Disability (Tick) NO Blood Group

______________________ (Signature) (Tick) Athlete Parent Guardian

______________________ (Name of Signatory)

* CB-Colour Belt IR-International Referee

BB-Black Belt

NR-National Referee

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GENERAL INSTRUCTIONS Application form is common to all seeking registration with Taekwondo Federation of India (TFI) under various categories i.e. Athlete & Referee. All mandatory fields (*) must be filled. The State and District names are used in generating web-based 12 digits Unique ID Card No. If a student is found having more than one ID Card or has submitted wrong Date of Birth, he / she will be black listed till he / she attains the age of 17 years from the date of first ID Card registered with TFI. Submission of any wrong information shall result in cancellation of ID Card

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Date of Birth once entered shall not be changed. Applicant can either apply directly to TFI or through his State / District Taekwondo Association. Applicant should pay only the Fee mentioned on this form and take a receipt for the same. Applicant can pay directly into Taekwondo Federation of India ID Card A/c No. 01432320017730 HDFC Bank and enclose a copy of the bank receipt along with this application form duly filled in and submit the same to: Taekwondo Federation of India, No 14/10, 1st Floor, Mayor Krishnappa Road, Bengaluru-560004. The application form duly filled in should have the following documents annexed: a. Copy of the Payment deposited into TFI HDFC Bank A/c given above. b. Attested copy of age Proof c. Two (2) Passport size photographs one to be pasted and one attached d. Red-1 Certificate for promotion to 1st DAN from respective STA The incomplete forms shall not be processed and returned to the source. ID card holder can logon to TFI web application www.tfiindia.com by entering his 12 digits ID card number; first name & date of birth to see his profile. He / she can update his Correspondence Address and Other Information details and also print his ID card if lost. Personal Information is not allowed to be changed at any cost. For change of Permanent Address the applicant shall apply with NOC from the Current State Taekwondo Association and pay fee of Rs 200/=. Candidate can apply directly to TFI without NOC but new card will be issued after a period of Two months from the date of receipt at TFI Secretariat. TFI Secretariat is free to make enquiries from the State Taekwondo Association before issuing a new card. See TFI Circular 22-TFI ID Cards on www.tfiindia.com Rules>Technical DECLARATION I have read the above instructions and shall abide by the same.

__________________________ (Signatures of Applicant)

RECEIPT
(To be issued by TFI affiliated STAs and DTAs / CM working under the aegis of STAs and DTAs respectively)

I, __________________________________________________________ (Name of the President / General Secretary / Treasurer / Owner / Manger _____________________________ STA / DTA / CM Have received Rs 200/= (Rs Two Hundred Only) towards TFI ID Card Fee from ____________________________ (Name of the candidate)

____________________________ (Signature) Stamp of the STA / DTA / CM Date of Issue by TFI: 26.09.2012