Full Name
*
University Address
*
Home Address
*
Date of Birth
*
Current Age
*
Medical Conditions
*
Mobile Number
*
E-mail
*
Country you compete for
Karate Club
*
Club Instructor
*
Association
*
Association Coach
*
Current University Attending
*
Have you competed for GB Students previously
*
Select an option:
Yes
No
Passport Number
*
Passport Issue Date
*
Passport Expiry Date
*
Discipline
*
Select an option:
Kata
Kumite
Select your Category
*
Select an option:
Men
-60kg
-67kg
-75kg
-84kg
+84kg
Female
-50kg
-55kg
-61kg
-68kg
+68kg
Male Kata
Female Kata
Current WKF Ranking
*
Medals won at
*
Select an option:
Series A
Premier League
European U21 Championships
European Senior Championships
World U21 Championships
World Senior Championships
Olympic Youth Games
European Games
None
Category and Year
*
Are you happy for this information to be shared with your NGB for Home Nation
*
Select an option:
Yes
No
Do you have student ID number from university
*
Select an option:
Yes
No
Have you just graduated
*
Select an option:
Yes
No
Do you have a UKAD complete and clean certificate
*
Select an option:
Yes
No
Emergency contact name
*
Emergency contact phone number
*
University sport department contact name
*
University sport department email address
*
give permission for the information attached to be kept on file by home nation and BKF
*
Select an option:
Yes
No
*
indicates required fields