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Life Membership (Non EU)
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A.D.D.I. MARTIAL ARTS ORGANIZATION

INDIVIDUAL MEMBER APPLICATION FORM

Dear prospect, We are happy that you decided as individual life time member for an entry into our Budo umbrella organisation. In this form you have now the possibility to announce officially and to register yours in the A.D.D.I. These from you to us transmitted data are automatically processed by our administrative system and are the basis for the issuing of the membership cards and other documents. In the following form please complete all necessary data. Please fill out carefully and completely all necessary fields, so that a smooth and fast processing of your application is guaranteed. Data protection is taken seriously with us! We obligate ourselves to always treat all and informed data confidentially and to only use them to the extent necessary for the processing of the applications, as well as not to transmit these to third parties. Further information with regard to our data protection explanation you will find in our imprint.

SECTION - PERSONAL INFORMATION

Mandatory field Full Name:*
Mandatory field Date of Birth:*
Mandatory field Address (Street and Number):*
Mandatory field City and Zip Code of Residence:*
Mandatory field Country of Residence:*
Mandatory field Home Phone:*
Mandatory field E-Mail:*

SECTION - MARTIAL ARTS HISTORY & RANK RECOGNITION YOUR PRIMARY STYLE
Mandatory field In which Style you start?:*
*if Style not listed enter here:
Mandatory field When did you start in this Style?:*
Current holding Rank/Degree
	STUDENT RANK 1 MASTERS DEGREE 2 MASTERS DEGREE 3 MASTERS DEGREE 4 MASTERS DEGREE 5 MASTERS DEGREE 6 MASTERS DEGREE 7 MASTERS DEGREE 8 MASTERS DEGREE 9 MASTERS DEGREE 10 MASTERS DEGREE
Mandatory field Date of last Examination/Promotion:*
Mandatory field Be under Examination/Promotion of (Association):*
Do you like to register offical your current rank and receive a international recognition certificate ?
	Yes No
PLEASE NOTE: If you wish to get a international recognition certification from our reliable and well knowed martial arts organization a minimal of issueing fee 10 USD will apply to your mebership fee. Please understand that we will only issue recongnition certificates as same as your presented examination certificate (rank/degree). We do not issue false or wrong certificates even if you like to pay for. We are not selling certificates for money!
YOUR SECONDARY STYLE
In which Style you start?:
*if Style not listed enter here:
When did you start in this Style?:
Current holding Rank/Degree
	STUDENT RANK 1 MASTERS DEGREE 2 MASTERS DEGREE 3 MASTERS DEGREE 4 MASTERS DEGREE 5 MASTERS DEGREE 6 MASTERS DEGREE 7 MASTERS DEGREE 8 MASTERS DEGREE 9 MASTERS DEGREE 10 MASTERS DEGREE
Date of last Examination/Promotion:
Be under Examination/Promotion of (Association):
Do you like to register offical your current rank and receive a international recognition certificate ?
	Yes No
PLEASE NOTE: If you wish to get a international recognition certification from our reliable and well knowed martial arts organization a minimal of issuancefee 10 USD will apply to your mebership fee. Please understand that we will only issue recongnition certificates as same as your presented examination certificate (rank/degree). We do not issue false or wrong certificates even if you like to pay for. We are not selling certificates for money!

Mandatory field Member in other Associations?:*

Name of Association:


SECTION - FEE PAYMENT DETAILS

Mandatory field Coose your preferd Way of Payment:*
Additional comments
By sending this application form, I hereby certify that the information enclosed herein is true and correct and understand that any false statements or submissions will be ground for immediate expulsion from the Organization and loss of all recognition and certification. Furthhemore, I understand that there will be no refunds issued for memberships, and certifications if expelled from the Organization. I will make my payment for my personel "Life Time Membership" in the A.D.D.I. for 25 USD (on time only) and (if selected) for the recognition certification by choosen way of payment directly to the A.D.D.I.
I have read and understand all terms and conditions concering my future membership and certification.