Monthly Fitness Training & Exercise Program
Personal Information
Full Name (as per Passport)
Date of Birth
Age
Gender
Male
Female
Nationality
Blood Group
Contact Details
Mobile Number
WhatsApp Number
Email Address (optional)
KMCC Details
KMCC Membership Number
Welfare Card Number
District Name (Native Place in Kerala)
Address in UAE
Building / Street / Area
Emirate
Emergency Contact
Name
Relation
Mobile Number
Medical Information
Do you have any medical conditions (e.g., heart disease, diabetes, asthma, etc.)?
Yes
No
If yes, please specify:
Are you currently under medication?
Yes
No
If yes, please mention:
Additional Information
Occupation / Profession
Availability for voluntary activities
Yes
No
Preferred Training Focus
Fitness
Weight Loss
Strength
Flexibility
Other
Declaration
I hereby declare that the information provided above is true and correct. I understand that the fitness program involves physical activity, and I participate at my own responsibility. KMCC Dubai Sports Wing shall not be held liable for any injury, illness, or accident arising during the training session.