国技院晋段申请表(修改版).doc

国技院晋段申请表 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 8718-2942 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 ??? ??? ??(?) ??? ???? ?? ???? ?????. 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 Date of application : 申请人 Applicant : ???? ??? ??(?) ??? ?????. I honestly recommend the above person as a well-qualified applicant for the promotion test of Dan/Poom grades. 国家 country 中国 所属协会 Name of Association/Dojang 中国跆拳道协会（CTA） Recommended by 协会地址 Address of Association/Dojang No.2-3 Tiyuguan Road , 　考核推荐人段位及段位号 Recommender`s Dan Certificate No or Date of Birth Chongwen District, Beijing, China 100061 Tel/ Fax/ e-mail 8718- 2942 / 8718- 2932 / ? ? ? ? ? ? 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 ensure that no false statement will be found in the application, otherwise, the Dan will be nullified even after its issuance and recommender will not be allowed to make further recommendations. 4. Applicant who staying abroad shall attach a document to confirm actual residence in the foreign country for more than 6 months. 1. ? ? : ?? ?? ??? 2. ??? ?? : ??? ?? ??????? ?? ??. 3. ? ? ? ? : ??? ?? ?? ???? ??, ????? ??? ?? ?? ?? ???? ????? ?? ??? ??? ??. 4. ?? ????? ??? ?? ??? ???? 6???? ??? ??? ? ?? ?? ??. Kukkiwon(March 01, 2006)