段位申请表(中文)

Kukkiwon(March01,2006)國技院樣式(2006.03.01)国技院晋段申请表ApplicationforPromotionTest１寸标准照２张1ID-sizephotoattachwithpaste国籍Nationality(Citizen)住址AddressTel8718-2942e-mail姓名Name中文出生日期DateofBirth年Year现有段位CurrentGrade申请段位Dan/Poomappliedfor月Month段位号DanCertificateNo.拼音性别Sex男/女M/F日Day签发日期DateofIssue본인은국기원승단(품)심사에응하고저이에신청서를제출합니다.身份证号码：IsubmitthisapplicationtothePromotionBoardofKUKKIWONforaPromotionTest.会员证号码：申请日期Dateofapplication:申请人Applicant:상기자를국기원승단(품)심의에추천합니다.Ihonestlyrecommendtheabovepersonasawell-qualifiedapplicantforthepromotiontestofDan/Poomgrades.国家country中国所属协会NameofAssociation/Dojang中国跆拳道协会（CTA）考核推荐人Recommendedby蔡成睿协会地址AddressofAssociation/DojangNo.2-3TiyuguanRoad,考核推荐人段位及段位号Recommender`sDanCertificateNoorDateofBirth05476347ChongwenDistrict,Beijing,China100061Tel/Fax/e-mail8718-2942/8718-2932/국기원장귀하To:PresidentKUKKIWON(WorldTaekwondoHeadquarters)NOTE1.Name:Thenamemustbeprintedortyped.2.DanCertificateNo:ThecurrentDannumbermustbetheonegivenbyKukkiwonorWTF.3.Recommendedby:Therecommenderofapplicantshouldensurethatnofalsestatementwillbefoundintheapplication,otherwise,theDanwillbenullifiedevenafteritsissuanceandrecommenderwillnotbeallowedtomakefurtherrecommendations.4.Applicantwhostayingabroadshallattachadocumenttoconfirmactualresidenceintheforeigncountryformorethan6months.1.성명:타자또는인쇄체2.현단증번호:국기원또는세계연맹공인단번호기록.3.추천사범:공인단번호또는생년월일기록,허위사실이발견시응심자의단은무효이며추천사범의추후추천은접수치않음.4.현지심사국가의국적이아닌타국적응심자는6개월이상거주를증명할수있는서류첨부.