ASJJF Membership

Personal Info

First Name

Middlename

Last Name

E-Mail

Type the email again

Telephone Number

Cellphone Number

Gender

Nationality

Birthdate

Language

Address :

ZIP / Postal Code

Country

State / Province / Region

City

Address

Academy

If your academy is not on the list please select Other

Belt

Actual Belt

Belt Grade (*Only for Black Belt)

Photo

Photo Upload

The following photos will not be accepted:

Passport / Identification Card (With Birthdate)

Identification or Passport Upload