1.Name :

2.Age :

3.Birthdate : year month day

4.Gender : male female

5.Country :

6.Address :

7.Telephone number :

8.Fax number :

9.Email address :

10.Your final academic background :

11.Your plan when to go to Okinawa; from year month ; to year month.

12.How long you plan to stay in Okinawa : weeks ,month ,year

13.Your Karate style name :

14.Karate ranks now, : non career , kyu, dan(black belt)

15.Your occupation :

To: Master President of Ryukyukan

　I swear the above written articles are true and please admit me to study at your dojo in order to learn the Okinawa traditional Karate , kobudo and Full contact karate.

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