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2013 AUSKF/SCKO Membership Application Form
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* Indicates required question
Do you want to be a member of AUSKF and SCKO for 2013?
*
Yes
No
Where you previously a member of AUSKF and SCKO?
*
Yes
No
Last Name
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Your answer
First Name
*
Your answer
Membership Number
If you do not have one, leave it blank
Your answer
Date of Birth
MM/DD/YYYY
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Age
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Gender
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Male
Female
Rank
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No Rank
6 Kyu
5 Kyu
4 Kyu
3 Kyu
2 Kyu
1 Kyu
1 Dan
2 Dan
3 Dan
4 Dan
5 Dan
6 Dan
7 Dan
Rank Received Date
MM/YYYY
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Comments
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