BRITISH TAEKWONDO CONTROL BOARD (WTF)

STUDENT LICENCE APPLICATION FORM

ALL boxes MUST BE completed in BLOCK CAPITALS, INSURANCE IS NOT GRANTED IF ANY BOX IS LEFT BLANK
Membership
Surname
Forename
Address
Postcode
Telephone
Occupation
Date of Birth
Gender
Grade
Instructor or Student
Email Address

 

Applicants wishing to RENEW their ANNUAL LICENCEMUST complete this box.

BTCB Membership No
BTC Licence No
Club Number Inc Branch
BTCB Expiry Date

DAN APPLICATION ARE REQUIRED TO COMPLETE THIS SECTION

Dan Poom
Date
Location
Chief Examiner
1st
2nd
3rd
4th
5th
6th

 

The information (except medical records) given on this form will be entered into the database and is for exclusive use by the BTCB. If you do not wish for your data to be stored select no here.

By Clicking submit below, you agree to the Terms & Conditions. If you do not agree then you must exit now!