:
상기자를국기원승단(품)심의에추천합니다.
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
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
본인은국기원승단(품)심사에응하고저이에신청서를제출합니다.
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
AppKUKKIWON(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.추천사범:공인단번호또는생년월일기록,허위사실이발견시응심
자의단은무효이며추천사범의추후추천은접수치않음.
4.현지심사국가의국적이아닌타국적응심자는6개월이상거주를증명할
수있는서류첨부.
附表2：（请附上身份证复印件）
Kukkiwon(March 01, 2006)國技院樣式(2006.03.01)
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.
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
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
/ /
국기원장귀하
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.