跆拳道黑带段位考试申请表.doc

国技院晋段申请表 会员号：_____________________
Application for Promotion Test
１寸标准照２张
1 ID-size photo
attach with paste
国籍
Nationality
(Citizen)

住址
Address

Tel
e-mail
姓名
Name
中文
出生日期
Date of Birth
年
Year
现有段位
Current Grade
　申请段位
Dan/Poom
applied for
月
Month
段位号
Dan Certificate No.
拼音
性别
Sex
男 / 女
M / F
日
Day
签发日期
Date of Issue
본인은 국기원 승단(품) 심사에 응하고저 이에 신청서를 제출합니다.
身份证号码：__________________________
I submit this application to the Promotion Board of KUKKIWON for a Promotion Test.
申请日期
Date of application
:

申请人
Applicant
:

상기자를 국기원 승단(품) 심의에 추천합니다.
I honestly recommend the above person as a well-qualified applicant for the promotion test of Dan/Poom grades.
国家
country
所属协会
Name of
Association/Dojang
考核推荐人
Recommended by
协会地址
Address of
Association/Dojang
　考核推荐人段位及段位号
Recommender`s Dan
Certificate No or Date of Birth
Tel/ Fax/ e-mail
/ /
국 기 원 장 귀 하
To: President
KUKKIWON(World Taekwondo Headquarters)
NOTE
1. Name : The name must be printed or typed.
2. Dan Certificate No : The current Dan number must be the one given by Kukkiwon or WTF.
3. Recommended by : The recommender of applicant should