Okinawa Gojuryu Karate Do India: Shihan Viraf Vatcha - Black Belt 7Th Dan
Okinawa Gojuryu Karate Do India: Shihan Viraf Vatcha - Black Belt 7Th Dan
Okinawa Gojuryu Karate Do India: Shihan Viraf Vatcha - Black Belt 7Th Dan
Reg No.__________________
Full Name : _____________________________________________ Age ________
Fathers / Husband’s name : _____________________________________________S
Address : __________________________________________________________________________
___________________________________________________________________________________
Phone / Mobile : __________________________ Email ID :__________________________________
Rank : ___________, Years in Karate : ___________ , Style Name : ____________________________
No of Dojo’s : ___________, No of students _________, Other Instructors : ____________________
Detail of Dojo and Address : __________________________________________________________
__________________________________________________________________________________
Past Affiliation :___________________________________________, No of Years : _____________
UNDERTAKING
I, ________________________________________ S/O._______________________________
R/O. ________________________________________________________________
Hereby under declare and confirm that I am joining the Okinawa GojuRyu Karate-Do India under the
chief instructorship of Viraf Vatcha with my own will and desire. All information given by me is true and
correct. I also declare that I have not joined any KAI approved style / or as an instructor before joining
the same and I will always abide by the rules and regulations of Okinawa GojuRyu Karate-Do India and
will work with full of my dedication and efforts to promote the prestige and dignity of Karate – Do. I will
also join the training seminars, tournaments etc. organized by Okinawa GojuRyu Karate-Do India.
Okinawa GojuRyu Karate-Do India and Viraf Vatcha has the right to terminate or expel my
membership, if in case I am found involved in any anti KAI / State Association or any criminal / civil
offence or by any act for spoiling the atmosphere, prestige and dignity of Karate – Do. I will also submit
my annual membership fees in time and submit the reports of my dojo and state / district activities from
time to time. I also declare that I have no objection in deputing any district instructor directly by Head
Office or Technical Director India.
I hereby agree to abide by all the rules / regulations and conditions as well as the instruction sent from time
to time from the Head Office and if any instructor wants to get any affiliation he / she is required to apply
to Okinawa GojuRyu Karate-Do India (India- Head Office)