심사신청서
Application for Promotion Test
증명사진1매
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1 ID-size photo
attach with paste
국적
Nationality
(Citizen)CHI来自A주소Address
ZHONG GUOBEI JING
Tel
8718-2942
e-mail
일
Day
10
발급일자
Date of Issue
본인은국기원승단(품)심사에응하고저이에신청서를제출합니다.신분증번호:222401199104102310
ID Card NO:
I submit this application to the Promotion Board of KUKKIWON for a Promotion Test.회원증번호:
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.
1.성명:타자또는인쇄체
2.현단증번호:국기원또는세계연맹공인단번호기록.
3.추천사범:공인단번호또는생년월일기록,허위사실이발견시응심
자의단은무효이며추천사범의추후추천은접수치않음.
4.현지심사국가의국적이아닌타국적응심자는6개월이상거주를증명할
수있는서류첨부.
Kukkiwon(March 01, 2006)國技院樣式(2006.03.01)
（MembershipCard No）
신청일자
Date of application
:
2007.10.22
신청인
Applicant
ZHANG HUAI BIN
상기자를국기원승단(품)심의에추천합니다.
I honestly recommend the above person as a well-qualified applicant for the promotion test of Dan/Poom grades.
中国跆拳道协会（CTA）
考核推荐人
Recommended by
金星辉
协会地址
Address of
Association/Dojang
No.2-3Tiyuguan Road ,
考核推荐人段位及段位号
Recommender`s Dan
Certificate No or Date of Birth
09012236
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
:
2007.10.22
申请人
Applicant
:
张怀斌
상기자를국기원승단(품)심의에추천합니다.
2、请严格按示例在未填写部分填写内容，未示例填写部分请勿填写。（注：两个表格均要填写，英韩表格中的姓名请用英文填写）
3、申请一段请附本人身份证复印件1份（或户口薄复印件1份）。
4、申请二段（含）以上请附本人身份证复印件1份（或户口薄复印件1份）和段位证复印件1份。
5、请填写完打印。
6、示例：
3.추천사범:공인단번호또는생년월일기록,허위사실이발견시응심
자의단은무효이며추천사범의추후추천은접수치않음.
4.현지심사국가의국적이아닌타국적응심자는6개월이상거주를증명할
수있는서류첨부.
Kukkiwon(March 01, 2006)國技院樣式(2006.03.01)
备注：
1、申段人员必须为中国跆拳道协会的个人会员，如果不是协会的个人会员请下载协会个人会员的申请表，并在会员注册流程中查询入会的相关流程。
Chongwen District, Beijing, China 100061
Tel/ Fax/ e-mail
8718-2942/8718-2932/
국기원장귀하
To: President
KUKKIWON(World Taekwondo Headquarters)
NOTE
1. Name : The name must be printed or typed.
국가
country
CHINA
협회/도장명
Name of
Association/Dojang
ChineseTaekwondo Association
추천사범성명
Recommended by
JIN XING HUI
협회/도장주소
Address of
Association/Dojang
No.2-3Tiyuguan Road ,
年
Year
1991
现有段位
Current Grade
申请段位
Dan/Poom
applied for
1
月
Month
4
段位号
Dan Certificate No.
拼音
ZHANG HUAI BIN
性别
Sex
男/女
M / F
日
Day
10
签发日期
Date of Issue
본인은국기원승단(품)심사에응하고저이에신청서를제출합니다.身份证号码：222401199104102310
성명
Name
성
First
ZHANG
생년월일
Date of Birth
년
Year
1991
현단(품)
Current Grade
응심단(품)
Dan/Poom
applied for
1
Middle
월
Month
4
단(품)증번호
Dan Certificate No.
성별
Sex
남/여
Ｍ/Ｆ
이름
Last
HUAI-BIN
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,
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)
中国
住址
Address
中国北京
Tel
8718-2942
e-mail
姓名
Name
中文
张怀斌
出生日期
Date of Birth
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.
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
추천사범단번호
또는생년월일
Recommender`s Dan
Certificate No or Date of Birth
09012236
Chongwen District, Beijing, China 100061
Tel/ Fax/ e-mail
8718-2942/8718-2932/
국기원장귀하
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.성명:타자또는인쇄체
2.현단증번호:국기원또는세계연맹공인단번호기록.