REGION NAME ______________________________
INSTRUCTORS NAME _____________________
CLUB__________________________________
DATE OF UPGRADING __________________
NAME IN FULL __________________________________________________________________________________
PRESENT ADDRESS ______________________________________ TEL NO ________________________________
________________________________________________________ BIRTH DATE ___________________________
________________________________________________________ AGE __________________________________
___________________________ POST CODE _________________ WEIGHT _______________________________
OCCUPATION __________________________________________ HEIGHT _______________________________
PRESENT GRADE __________________________ GUP ________________ BELT __________________________
……………………………………………………………………………………………………………………………
DECLARATION
I, __________________________________________, hereby make application to be graded by the Technical Advisory
Committee of the UK Soo Bahk Do Moo Duk Kwan Federation and, if accepted, I agree to abide by the rules of such gradings. I consent to my details being passed to World Moo Duk Kwan, the governing body.
I solemnly promise that I will apply my knowledge of Soo Bahk Do only in defending myself and my property.
I swear that I will not use my knowledge of Soo Bahk Do for any adverse purpose. In the event of any injury inflicted by me while in the Soo Bahk Do hall or premises I agree to accept full liability.
SIGNATURE OF APPLICANT ________________________________________________________________
……………………………………………………………………………………………………………………………
OFFICIAL USE ONLY
KI CHO HYUNG
(1) _____________________
(2) _____________________
(3) _____________________
PYUNG AHN HYUNG PYUNG AHN HUNG
(1)_________________ (4) _________________
CHIL SUNG HYUNG
(1) ______________________
(2) _________________ (5) _________________ (2) ______________________
(3) _________________ (3) ______________________
PASSAI HYUNG ___________________________ IL SOO SIK DAE RYUN _______________________________
HO SIN SOOL _____________________________ JA YU DAE RYUN ___________________________________
KYOK PA ________________________________
COMMENTS _____________________________________________________________________________________
________________________________________________________________________________________________
_________________________________________________________________________________________________
GRADED TO _______________ GUP
EXAMINER’S SIGNATURE __________________________