On 23rd & 24th December 2023 Venue : Gokul Nikunj Haveliya Chauraha Sarnath Varanasi (U.P.)
NAME OF ASSOCIATION/ACADEMY
NAME OF COACH
CONTACT NUMBER
ADDRESS STATE NAME DISTRICT NAME
NAME OF CANDIDATE
GENDER —Please choose an option—MaleFemaleOthers
DATE OF BIRTH
COMP. AGE
WEIGHT IN KG
INDV. KATA
INDV. KUMITE
GRADE / BELT
