APPLICATON FORM Application fee will be transferred to the

ESHRKF
European Shito Ryu Karate Federation
APPLICATON FORM
Questionnaire for Shito Ryu Group applying for ESHRKF Membership
___________________________________________________________________
Full Name of the Shito Ryu Group applying for ESHRKF membership
Name of Clubs and their legal statutes / form of approval – national registration,
etc.
1. Club :________________________________________________________
2. Club:________________________________________________________
3. Club:_________________________________________________________
___________________________________________________________________
Full Name and Address of Group Chairman
___________________
Telephone number
_____________________
E-mail
We hereby apply for Regular Membership and accept the Statutes, Rules and
Regulation of ESHRKF.
Application fee will be transferred to the following address
Name of Organization : Európska Shito Ryu Karate Federácia
Name of Bank: UNICREDIT BANK CZECH REPUBLIK and SLOVAKIA a.s.
Address of Branch Bank: ŠANCOVÁ 1/A, 813 33 BRATISLAVA
Country:
SLOVAKIA
Code IBAN:
SK 5011110000001191803002
Code Swift:
UNCRSKBX
Account number:
1191803002
------------------------------------------------------Date and Place
-------------------------------------------------Stamp and Signature
Application form shall be send to:
Peter Baďura
M.R.Štefánika 47
940 65 Nové Zámky
SLOVAKIA
email: [email protected]
Document name: Application form-Federation
Issue date: 16.10.2012
Version: 1.0
Page: 1/1
© ESHRFK 2012
The document can be published without any changes and with the agreement of president of federation
only.