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SCHOOL DETAILS |
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Name of School: |
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Locations
(State & Suburbs) where training is held: |
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Approximate total number of members/students Under 18 yrs of age |
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Male: |
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Female: |
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Approximate total number of members/students 18 yrs of age and over |
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Male: |
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Female: |
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APPLICANT DETAILS - HEAD OF SCHOOL IN AUSTRALIA |
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First Name: |
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Surname: |
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Address: |
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Suburb: |
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Post Code: |
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Phone number (home): |
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Phone number (work or mobile): |
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Email: |
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Date of Birth: |
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Age: |
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Occupation: |
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Gender (male or female): |
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| GRADE HISTORY AND LINEAGE |
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Date commenced Jujitsu (or your schools discipline) |
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If your grade or history is other than Jujitsu - what is your discipline or martial art? |
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Dan Grades (or highest kyu grade): |
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Date Awarded: |
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Awarded By: |
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School or Style: |
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Teaching and admin experience: |
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Gradings in other martial arts: |
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| APPLICANT CONFIRMATION |
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| On behalf of the School, whose details are provided above, I apply for membership of the AJF and agree to be bound by the Constitution, Rules and Codes of Conduct of the AJF. |
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Name: |
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Date: |
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