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Style: Account #: (718) 7403493(718) 7403499www.kyodaidojo. Georges ASHLAR JR., SHIHANBADYR ASHLAR, SHIHANDAIKEVIN GAINED, SHIHANDAIKyodai Karate Inc. SELF DEFENSE AND WELLNESS CENTER21948 Jamaica
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The form must be filled out completely and accurately with all required information.
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The purpose of the form is to gather necessary information from applicants in order to determine their eligibility.
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