Join as New Member (Senior)

Sr. Coach Registration Form

KKSI Sr. Coach Registration Form

General Instructions
Personal Details
Karate Details
Affiliation and Dojo details

INSTRUCTIONS

This form is divided into following 3 steps:
1. Personal details
2. Karate Experience & Certification details
3. Dojo Address & other details

Please click on the check boxes to proceed if you have the document files ready, which are required to be uploaded while filling the form:

Please ensure that you have the following document files, which are required to be uploaded while filling the form

	Document File
Passport Size Photograph (.jpg, .png)
Aadhar Card file (.jpg, .png, .pdf
Dan Certificate issued by KKSI or any other organization, whichever applicable. (.jpg, .png, .pdf

Personal Details

First Name

Last Name

Gender

Date of Birth

Phone Number

Passport Size Photograph

Choose File (.jpg, .png)

Upload Aadhar Card

Choose File (.jpg, .png, .pdf)

Karate Experience & Certification Details

Do you hold a non-KKSI Dan/Grade certificate ?

Yes

Karate Style Name

Dan/Grade in the selected style

Please upload the Dan Certificate of style

(.png, .jpg, .pdf)

Do you hold a Dan/Grade or recognition certificate issued by KKSI ?

Yes

Dan Grade according to KKSI issued certificate

Registration Number of KKSI Certificate

Please upload the Dan/Recognition Certificate issued KKSI

(.png, .jpg, .pdf)

Dojo Address & Details

Dojo/Academy Name

Address Line 1

Address Line 2

City

PIN Code

State/UT

Total Students

Total Black Belts

Total Instructors

Total Branches

You want to join us as:

I acknowledge that I have read and understood the KKSI rules and agree to abide by them by ensuring regular participation in scheduled belt exams and other events. I am prepared to pay the joining fee and understand that KKSI reserves the right to grant or cancel affiliation at its discretion without providing any reason. I also agree & acknowledge that my affiliation is not a matter of right.