中国武术段位制海外人员申报表（版）.doc

中国武术段位制海外人员申报表（2014版） Application Form of Chinese Wushu Duan Wei System For Overseas Practitioners 相 片 Photo 姓名 Name 性别 Sex 出生年月 Date of Birth 国家 Nationality 申报段位 Applied Duan 原段位和批准时间 Original Duan ＆Time of Conferment Passport or Local ID No. 文化程度 Education Level 职业 Profession 职称及获得时间 Professional Title and Date of Obtaining It 习武年限 Duration of Wushu Practice 申报项目 Applied Event 规定项目： Compulsory Events 自选项目： Optional Events 通信地址 Postal Address 电话/传真 Tel/Fax No. 习武经历 (可加附页) Experience of Wushu Practice (Attached Paper Can Be Added) （申请初段位填写习武简历；申请中段位加填武术教学、比赛和活动成绩及发表文论等；申请高段位再加填组织武术活动、武术推广和科研业绩贡献等） （The candidates who apply for Elementary Level of Duanwei should submit the experience of wushu practice. The candidates who apply for Intermediate Level of Duanwei should submit the experience of wushu practice, wushu teaching, achievements of competitions and activities and published thesis. The candidates who apply for Advanced Level of Duanwei should submit the experience of organizing wushu activities, wushu promotional activities and scientific research achievements besides the above contents.???） 老师鉴定 Teacher’ Appraisal 老师签字： Teacher’s Signature: 老师段位： Teacher’s Duan: 考评成绩 Results of Examination 技术考评成绩 Results of Technical Examination 理论考评成绩 Results of Theoretical Examination 规定项目： Compulsory Events 自选项目： Optional Events 考评组长签字： Signature of chief of Appraisal Panel 考评委员会意见 Comments of Examination ＆ Appraisal Committee 考评委员会主任签字： Signature of the Director of the Examination ＆ Appraisal Committce: 审批意见comments on Examination 段位主管部门盖章 Stamp of Duan Examination Body 审批日期： 年 月 日 Date of Approval : Date Month Year 中 国 武 术 协 会 制 Printed by the Chinese wushu Association 报 名 表 REGISTRATION FORM 姓名 Name 性别 Sex 出生年月 Date of Birth 国籍 Nationality 习武年限 Duration of Wushu Practice 申报项目 Applied Event 1. 2.