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1、国技院晋Application fo:段申请表r Promotion Test1寸标准照2张1 ID-size photo attach with pas te国籍Natio nal it (Citizen)y 中国住址Address中国北京Tel8718-2942e-mail姓名Name中文张怀斌出生日期Date ofBir th年Year1991现有段位Current Grade申请段位 Dan/Poom applied for1月 Mon th4段位号Dan Certificate Nc拼音ZHANG HUAI BIN性别Sex男/女 M / F日 Day10签发日期Date of Is
2、sue().身份证号码：222401199104102310I subm it t his applica tion to the Pro motion Board of KUKKIWON for a Pro motion Tes t. 会员证号码：申请日期.：2007.10.22申请人：张怀斌Date of applicationApplicant， () .I honestly recommend the above person as a well-qualified applicant for the promotion test of Dan/Poom grades.国家 count
3、ry中国所属协会Name of Association/Dojang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/DojangNo. 2-3 Tiyuguan Road ,考核推存人段位及段位号 Recommender s DanCertificate No or Date of Bii09012236thChongwen Distriet, Beijing, China 100061Tel/ Fax/ e-mail8718- 2942/ 8718- 2932 /To: PresidentKUKKIWON(World
4、 Taekwondo Headquarters)NOTE1. Name : The name must be printed or typed.2:2. 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
5、 will be nullified even after its issuance and recommender will not be allowed to make further recommendations.厂4.64. Applicant who staying abroad shall attach a document to confirm actual residence in the foreign country for more than 6 months.也人卜d S 用吞岂人已10HApplication for Promotion Test晉豆冒01知9Nat
6、ionality (Citizen)CHINA罕仝ZHONG GUO BEI JINGTel8718-29421 ID-size photo attach with pasteAddresse-mail言匀已(吾) Dan/Poom applied forFirstZHANGMiddle01昌 LastHUAI-BIN加 8o oNameDate ofBirth日 Year1991邑 & (吾) Current Grade冒Month4已(吾)吞白昼 Dan Certificate No.些 Day10Date of IssueSex呂色吕丁是 言日(吾)匀人训 吕胡门用01训别看旨L口.I
7、submit this application to the Pr omotion Boa rd of KUKKIWON for a Pr omotion Test.2007.10.22吞也亘：222401199104102310ID Ca rd NO： 国魁舌电立：(Membe rship Ca rd No)d S 2 ZHANG HUAI BINApplica nt Date of applicati ong丁几B三丁詞 言日(琶)匀俱训I hon estly recomme nd the above pers on as a well-qualified applica nt for t
8、he promoti on test of Dan/Poom grades.至丙耆L|口.countryCHINA冒司/ 8 Name of Association/DojangChinese Taekw ondo Association冒司/三丰仝 Address of Association/DojangNo.2-3 Tiyuguan Road ,Chongwen District, Beijing, China 100061Tel/ Fax/ e-mail8718- 2942 / 8718- 2932 /辛呂人也 8 Recommended byJIN XING HUI生二处日冒自Rec
9、ommender s Dan Certificate No or Date of Birth09012236To： Preside ntKUKKIWON(World Taekwo ndo Headquarters)NOTE1. 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 e
10、nsure 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
11、for more than 6 months.亍丁超 生三 知刿弹題吾2已 也莹丁雪.&也莹 生三 怂日冒里丁雪，司刚人崔01生召人I吕出 乃2|已吕早苣01田季国人也2|季李季国吕因伞力躍旨.4.邑刀出人N刀2| NW0I 0卜日曰吕出乃三6州冒010刁辛B吞里蚩 伞淤A川异袒早备注：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。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
12、、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：国授院晋段申请表 Applicarion for Promotion TestriatRonalrt- iCitczenj中国復址北京市海谴区8718-2942*ddr*与一maulThD-5C6 phot询ach with娃喀FJamt中丈李乐蓉LI LE-RONGDai# olBirth1990Current G ads1員t |onth10取检号Dan Urtrfi匚耳t& lUo05?0 4125日1aj-16盛狡曰期 Dm曲 of 1 旺 ua2002.10JG申讀取位D
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14、anl Tor -(R pram allan 恬如 al Q-n P a-onn oradfCO LIFltliJ中国NdM6 Of Ano-aiation Dojdng中国跆事道协会(CTA)协逸地址百暮 of召心ui2*h/ri Oo ian-0No.2-3 Tp/uuan Koad rChonwen District Bsijmg. Chna 1D0D61Tq耳 Fa - g-mmil8718- 2942 J B718- 2932/为孩接君丸取验踐宓应号RCQmrH9n-dar s D测Certificat M ts i Cate 十白i吐h弗战怖存人ReipmencLd tym 丁晶刃7)m To! PresidentKLSKKJWO World Taekwondci Headquarters)KOTE 脚工屉 The iJnc nml be oilttadood2 djh c=flilk jafr 勒亠11口 ci mill dj i i v n tar nn-l
