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Registration Form
Pondicherry Aikikai
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Personal Information
Name
*
First & last names
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Sex
*
Male
Female
Other:
Occupation
*
Students have to produce their student id card
Employed / Self-Employed
Student (to produce id)
Other:
Full Postal Address
*
Include post-code. Hit enter for new line.
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Emergency Contact Name
*
First & last names
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact Relantionship
*
Your answer
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