跆拳道段位申请表.doc

跆拳道段位申请表
国技院晋段申请表 ,寸标准照,张
Application for Promotion Test 1 ID-size photo 国籍 Tel attach with 住址 8718-2942 Nationality 中国 paste Address e-mail (Citizen)
年 现有段位 申请段位 Year 中文 Current Grade Dan/Poom 出生日期 applied for 姓名 月 段位号 Date of Month Name Dan Certificate No. Birth 男 / 女 性别 拼音 日 签发日期 M / F Sex Day Date of Issue
身份证号码: ??? ??? ??(?) ??? ???? ?? ???? ?????. I submit this application to the Promotion Board of KUKKIWON for a Promotion Test. 会员证号码:
申请日期 申请人 : : Date of application Applicant
???? ??? ??(?) ??? ?????. I honestly recommend the above person as a well-qualified applicant for the promotion test of Dan/Poom grades.
所属协会 国家 考核推荐人 Name of 中国 中国跆拳道协会(CTA) country 金星辉 Association/Dojang Recommended by
协会地址 -3 Tiyuguan Road ,
Address of 考核推荐人段位及段位号 Association/Dojang Chongwen District, Beijing, China 100061 Recommender`s Dan 09012236
Certificate No or Date of Birth Tel/ Fax/ e-mail 8718- 2942 / 8718- 2932 /
? ? ? ? ? ?
To: President
KUKKIWON(World Taekwondo Headquarters)
1. ? ? : ?? ?? ??? 1. Name : The name must be printed or typed. 2. ??? ?? : ??? ?? ??????? ?? ??. 2. Dan Certificate No : The current Dan number must be the one given by Kukkiwon or WTF. 3. ? ? ? ? : ??? ?? ?? ???? ??, ????? ??? ?? 3. Recommended by : The recommender of applicant should ensure that no false statement will be found in the application, NOTE ?? ?? ???? ????? ?? ???