22nd BHUBANESWAR DISTRICT KYORUGI &

POOMSAE TAEKWONDO CHAMPIONSHIP: 2024

DATE-29th & 30th JUNE, 2024
VENUE-SSS CONVENTION, DUMDUMA,
BHUBANESWAR
 22nd DISTRICT KYORUGI & POOMSAE
TAEKWONDO CHAMPIONSHIPS: 2024
29th & 30th June 2024
SSS Convention,In front of Biju Pattnaik Energy Park,Kolathia,Dumduma,Bhubaneswar
PROMOTER : Odisha Taekwondo Association /ORGANISER : Bhubaneswar Taekwondo Association

OUTLINE - RULES & REGULATIONSE

Date & 29th & 30th July 2023
Place SSS Convention,In front of Biju Pattnaik Energy,Kolathia,Dumduma,Bhubaneswar
Promoter ODISHA TAEKWONDO ASSOCIATION
Taekwondo Training Hall,
Kendujhar : 758002.
Mob:7381053764 / Email: Odishataekwondoassociation@gmail.com

Organizer BHUBANESWAR TAEKWONDO ASSOCIATION

EWS 9/11 H.B. Colony, C.S.Pur,
BHUBANESWAR.
Contact Person: Shri. Jay Krushna Parida. Mob: 9438037822
Qualification 1. SUB JUNIOR: For Sub Junior Male & Female aged 10-12 Years Old, based
on the year 2024 athletes born between (January 1 2013 and December 31,
2015 )will be eligible to participation in this competition.
2. CADET: For Cadet Male & Female aged 12-14 Years Old, based on the year
2024 athletes born between( January 1 2010 and December 31, 2012) will
be eligible to participation in this competition .
3. JUNIOR: For Junior Male & Female aged 15-17 Years Old, based on the
year 2024 athletes born between (January 1 2007 and December 31, 2009)
will be eligible to participation in this competition.
4. SENIOR: For senior the Athlete must be 17 years old or older in the year
2024, so the athlete born in 2006 or before will be eligible to participation in
this competition.
5. Copy of Birth Certificate / Adhar Card, Dan Certificate & TFI ID Card
should be enclosed along-with the Application Form. Participants
should be Citizen of India and domicile of the representing state holding
valid TFI Id card registered.
Competition World Taekwondo new competition rules. Single elimination tournament
Rules system.
Entry fee 1. Entry Fees of Rs.1200/- per Athlete should be deposited by 26th June.
2. PARTICIPATION IN KYOURUGI ONLY – RS 1200
3. PARTICIPATION IN POOMSAE ONLY (IN ONE CATEGORY) – RS 1200
4. PARTICIPATION IN KYOURUGI & ONE CATEGORY OF POOMSAE – RS
1700
5. PARTICIPATION IN ONLY POOMSAE (INDIVIDUAL + PAIR) – RS1700 –
6. PARTICIPATION IN KYOURUGI & MORE THAN ONE CATEGORY OF
POOMSAE – RS 1200+500 (For each event)
7. PARTICIPATION IN ALL THREE CATEGORIES OF POOMSAE ONLY –
RS2200.
Protective The contestants should wear their own WT approved groin guard, forearm
equipment’s guard, shin guard & mouth guard compulsorily. Taekwondo dobok (uniform)
and taekwondo equipment’s approved by WT will only be permitted for use during
the Championship and use of banned taekwondo equipment’s & dobok will
disqualify the player.
 22nd DISTRICT KYORUGI & POOMSAE
TAEKWONDO CHAMPIONSHIPS: 2024
29th & 30th June 2024
SSS Convention,In front of Biju Pattnaik Energy Park,Kolathia,Dumduma,Bhubaneswar
PROMOTER : Odisha Taekwondo Association /ORGANISER : Bhubaneswar Taekwondo Association
Awards Ist place : Gold Medal
IInd place : Silver Medal
IIIrd place : Two Bronze Medals

Indemnities It shall be responsibility of the respective state associations to ensure that their contestants have validly
completed the participation forms and have them signed by the parents / guardian and contestants
indemnifying the organizers, the officials and other contestants from any claims of injuries, losses, fatal of
otherwise arising in the course of participation in this championship or any activities thereto.
Protest if In case, there is objection towards a judgment, the concerned coach / manager
any must submit the protest application form together with prescribed fee of Rs.
1000.00 (non-refundable) to the board of arbitration within ten minutes after the
pertinent contest. Deliberation will be done as per WT rules
 22nd DISTRICT KYORUGI & POOMSAE
TAEKWONDO CHAMPIONSHIPS: 2024
29th & 30th June 2024
SSS Convention,In front of Biju Pattnaik Energy Park,Kolathia,Dumduma,Bhubaneswar
Odisha 751030
PROMOTER : Odisha Taekwondo Association /ORGANISER : Bhubaneswar Taekwondo Association

INDIVIDUAL ENTRY FORM

HEIGHT WEIGHT
BOY WEIGHT CATEGORY
In cms In kgs
GIRL
Attach ONE
Passport Size
Name (In Capital Photos
Letters)

Date Of Birth Age Weight

Parent / Guardian
Name

Club Name

COPY OF CORPORATION / MUNCIPAL BIRTH CERTIFICATE & TFI ID CARD SHOULD BE ENCLOSED COMPULSORILY AND
ORIGINALS SHOULD BE SHOWN AT THE TIME OF WEIGH IN.

Present Belt Grade TFI Id Card No.

Name Of The
Academic Qualification
School

DECLARATION
I, the undersigned do hereby solemnly affirm, declare and confirm for myself, my heirs, executors & administrators that
I indemnify the Promoters/ Organizers / Sponsors & its Members, Officials, Participants etc., holding myself personally
responsible for all damages, injuries of accidents, claims, demands etc., waiving all prerogative rights, whatsoever
related to the above set forth event.

Signature of Parent / Guardian. Signature of Participant

FOR CHAMPIONSHIP USE:

1ST 2ND 3RD REMARKS
WEIGHT
 22nd DISTRICT POOMSAE TAEKWONDO
CHAMPIONSHIPS : 2024
29th & 30th June 2024
SSS Convention,In front of Biju Pattnaik Energy Park,Kolathia,Dumduma,Bhubaneswar
Promoter : Odisha Taekwondo Association / Organizer : Bhubaneswar Taekwondo Association

INDIVIDUAL ENTRY FORM

Mark (X) on the appropriate boxes.

Category Individual Pair Group

Sub Junior Cadet Junior Senior

Gender Male Female

Attach One
Name Passport Size
Photo
Club Name

Date of Birth Age

Parent / Guardian
Name
Current Belt TFI ID
Belt Certificate
Grade No.
No.
Xerox copy of TFI ID Card, Belt Grade Certificate, Birth Certificate should be enclosed compulsorily
DECLARATION
I, the undersigned do hereby solemnly affirm, declare and confirm for myself, my heirs, executors
& administrators that I indemnify the Promoters/ Organizers / Sponsors & its Members, Officials,
Participants etc., holding myself personally responsible for all damages, injuries of accidents,
claims, demands etc., waiving all prerogative rights, whatsoever related to the above set forth
event.

Signature of Parent / Guardian. Signature of Participant