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1 | Group Membership Application with ITF HQ Korea | |||||||||||||||||||||||||
2 | (Data) | |||||||||||||||||||||||||
3 | ||||||||||||||||||||||||||
4 | Group type (Dojang/ School/ Association): | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | ||||||||||||||||||||||||
5 | Group name (it will appear on your group certificate and plate) | |||||||||||||||||||||||||
6 | ||||||||||||||||||||||||||
7 | Group contact information: | |||||||||||||||||||||||||
8 | Address: | NISKA 29/38 | Zip code: | 01-046 | ||||||||||||||||||||||
9 | Country: | Warszawa | Group official website address (if available) | www.mawt.pl | ||||||||||||||||||||||
10 | ||||||||||||||||||||||||||
11 | Group contact person: | |||||||||||||||||||||||||
12 | Title: | President | Given name: | GRZEGORZ | Last name: | WYSZOMIERSKI | ||||||||||||||||||||
13 | Email address: | office@mawt.pl | Telephone number: | 888 405 888 | ||||||||||||||||||||||
14 | ||||||||||||||||||||||||||
15 | Please email the completed registration file to: korea@itfmail.org and we will contact you as soon as possible to confirm affliation steps | |||||||||||||||||||||||||
16 | ||||||||||||||||||||||||||
17 | Members information | |||||||||||||||||||||||||
18 | ID Number | Given name | Last Name | Name as it will appear on documents [maximum 22 characters including spaces] | Gender (M or F) | Date of birth (MM/DD/YYYY) | Membership number (if new member write "new member") | Current Rank (Dan or Gup) | CLUB | Martial Art style | Country | Nationality | A member of (group name or individual membership type) | |||||||||||||
19 | 1 | MAJA | ANTOSIEWICZ | F | 12.03.2004 | new member | 3 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
20 | 2 | MAKSYMILIAN | ANTOSIEWICZ | M | 27.05.2007 | new member | 3 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
21 | 3 | MARCIN | BACIA | M | 14.09.1976 | new member | 5 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
22 | 4 | ALICJA | BAGIŃSKA | F | 5.12.2006 | new member | 3 KUP | DRAGON | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
23 | 5 | HANNA | BAGIŃSKA | F | 5.12.2006 | new member | 3 KUIP | DRAGON | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
24 | 6 | RAFAŁ | BAGIŃSKI | M | 2.05.1976 | new member | 6 DAN | DRAGON | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
25 | 7 | PALINA | BAHINSKA | F | 29.04.2008 | new member | 8 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
26 | 8 | ILLIA | BAHINSKYI | M | 20.03.2014 | new member | 9 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
27 | 9 | NINA | BALAS | F | 28.04.2009 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
28 | 10 | HANNA | BATOR | F | 14.05.2004 | new member | 9 KUP | KS MAWT ŻELAZNA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
29 | 11 | HELENA | BITTEL | F | 27.07.2012 | new member | 7 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
30 | 12 | MACIEJ | BŁACHNIO | M | 2.12.2010 | new member | 10 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
31 | 13 | JAKUB | BRODZIK | M | 9.12.2002 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
32 | 14 | OLAF | BUKOWSKI | M | 13.12.2012 | new member | 9 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
33 | 15 | GABRIELA | BURACZEWSKA | F | 22.04.2009 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
34 | 16 | SEBASTIAN | CHABER | M | 19.10.1975 | new member | 2 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
35 | 17 | WOJCIECH | CHODASIEWICZ | M | 5.01.2003 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
36 | 18 | SEBASTIAN | CHOJNACKI | M | 27.06.1979 | new member | 8 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
37 | 19 | PAWEŁ | CHUDZIK | M | 30.01.1981 | new member | 1 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
38 | 20 | IGOR | CISOWSKI | M | 16.08.2010 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
39 | 21 | RADOSŁAW | CZYŻAK | M | 4.06.1981 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
40 | 22 | ADAM | DANECKI | M | 18.07.1979 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
41 | 23 | BARTŁOMIEJ | DRÓŻDŻ | M | 12.06.2012 | new member | 10 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
42 | 24 | RAFAŁ | DUCZEK | M | 27.11.1976 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
43 | 25 | ARMIN | DUDEK | M | 12 .09.2014 | new member | 10 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
44 | 26 | FILIP | DYŻAKOWSKI | M | 24.07.2008 | new member | 9 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
45 | 27 | DOMINIK | DZIUPIŃSKI | M | 12.06.2011 | new member | 5 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
46 | 28 | NADIA | FIAŁKOWSKA | F | 12.02.2010 | new member | 8 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
47 | 29 | LENA | FRANT | F | 25.06.2008 | new member | 8 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
48 | 30 | ALAN | FRĄCZEK | M | 16.12.1994 | new member | 9 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
49 | 31 | HANNA | GÓRSKA | F | 5.12.2011 | new member | 10 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
50 | 32 | MAREK | GRANAT | M | 13.08.1980 | new member | 3 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
51 | 33 | MARCIN | GRZESIAK | M | 17.06.1980 | new member | 3 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
52 | 34 | JULIA | JAGODZIŃSKA | F | 30.05.2010 | new member | 10 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
53 | 35 | WOJCIECH | JASIONEK | M | 14.03.1974 | new member | 4 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
54 | 36 | MARCIN | KACZMAREK | M | 9.01.1973 | new member | 9 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
55 | 37 | DARIUSZ | KALINOWSKI | M | 13.02.1969 | new member | 0 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
56 | 38 | KRZYSZTOF | KILAN | M | 29.04.1984 | new member | 5 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
57 | 39 | PAWEŁ | KILIAN | M | 13.05.1976 | new member | 1 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
58 | 40 | BARBARA | KOCIUBA | F | 2.03.1988 | new member | 3 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
59 | 41 | STANISŁAW | KOCIUBA | M | 6.05.2015 | new member | 10 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
60 | 42 | ALEKSANDER | KOŁDEJ | M | 21.05.2011 | new member | 9 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
61 | 43 | MICHAŁ | KOŁOTNIAK | M | 23.10.2008 | new member | 6 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
62 | 44 | WIKTORIA | KONDEJ | F | 27.05.2014 | new member | 8 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
63 | 45 | BARTOSZ | KONDEJ | M | 13.06.2011 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
64 | 46 | OLIWIA | KONDEJ | F | 4.06.2010 | new member | 5 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
65 | 47 | GRZEGORZ | KOWALSKI | M | 24.09.1986 | new member | 8 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
66 | 48 | PIOTR | KRASA | M | 25.03.2012 | new member | 9 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
67 | 49 | HUBERT | KUR | M | 30.01.2013 | new member | 7 KUP | KS MAWT ŻYTNIA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
68 | 50 | KACPER | KUR | M | 15.09.2004 | new member | 3 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
69 | 51 | MIKOŁAJ | KUSAK | M | 11.05.2010 | new member | 5 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
70 | 52 | DARIUSZ | KUSZYŃSKI | M | 11.02.1989 | new member | 5 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
71 | 53 | MARCEL | LEŚNIEWSKI | M | 29.01.2010 | new member | 6 KUP | DRAGON | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
72 | 54 | HANNA | LEWIŃSKA | F | 6.07.2010 | new member | 6 KUP | KS MAWT WESOŁA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
73 | 55 | SEBASTIAN | LEWIŃSKI | M | 15.08.1978 | new member | 2 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
74 | 56 | ZOFIA | LINDEBNY | F | 18.06.2007 | new member | 0 KUP | KS MAWT ŻELAZNA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
75 | 57 | BERNARD | LIPIŃSKI | M | 03.03.1976 | new member | 3 DAN | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
76 | 58 | RONJA | LOHRUM | F | 4.03.1997 | new member | 2 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
77 | 59 | GRZEGORZ | LUBAWSKI | M | 19.01.2015 | new member | 9 KUP | KS MAWT WESOŁA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
78 | 60 | NORBERT | ŁOJKO | M | 20.02.2009 | new member | 3 KUP | DRAGON | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
79 | 61 | LIWIA | ŁOPATNIUK | F | 19.10.2004 | new member | 9 KUP | KS MAWT ŻELAZNA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
80 | 62 | KUBA | MAJEWSKI | M | 14.02.2007 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
81 | 63 | PATRYK | MARCINIAK | M | 30.09.2088 | new member | 8 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
82 | 64 | ZUZANNA | MARKIEWICZ | F | 23.04.2016 | new member | 9 KUP | KS MAWT WESOŁA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
83 | 65 | ALICJA | MASNY | F | 6.12.2015 | new member | 10 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
84 | 66 | TOSIA | MASNY | F | 4.01.2010 | new member | 0 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
85 | 67 | DAWID | MASNY | M | 28.02.1982 | new member | 0 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
86 | 68 | ANTONI | MICHALEC | M | 23.11.2011 | new member | 8 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
87 | 69 | MARCIN | MIKOŁAJCZAK | M | 7.08.1977 | new member | 4 DAN | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
88 | 70 | ALICJA | MIKOŁAJCZAK | F | 15.06.2007 | new member | 5 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
89 | 71 | MAJA | MŁODOŻENIEC | F | 29.04.2015 | new member | 9 KUP | KS MAWT WESOŁA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
90 | 72 | DARIUSZ | MRÓZ | M | 25.05.1987 | new member | 3 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
91 | 73 | OLIWIA | NAROJCZYK | F | 21.05.2008 | new member | 7 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
92 | 74 | HUYEN | NGUYEN | M | 7.09.1986 | new member | 8 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
93 | 75 | ANDRZEJ | OJRZYŃSKI | M | 28.10.2011 | new member | 6 KUP | SKSW YONG | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
94 | 76 | MARCIN | OLKOWSKI | M | 31.10.2012 | new member | 6 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
95 | 77 | ALEKSANDER | OSTOJA - CHYŻYŃSKI | M | 29.05.1984 | new member | 7 KUP | KS MAWT ŻELAZNA | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
96 | 78 | MAJA | OŻÓG | F | 21.05.2006 | new member | 8 KUP | MAWT | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
97 | 79 | ZOFIA | PAWŁOWSKA | F | 15.05.2013 | new member | 8 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
98 | 80 | KAMIL | PIWOŃSKI | M | 16.03.2009 | new member | 7 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
99 | 81 | PRZEMYSŁAW | PIWOŃSKI | M | 23.07.2012 | new member | 8 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ | |||||||||||||||
100 | 82 | MONIKA | POŚWIATA | F | 1.05.1994 | new member | 2 KUP | TOP GUN | ITF | POLAND | POLSKA ORGANIZACJA TAEKWONDO ITF HQ |