SZA Dan Grading Application Form

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Students should use this form to apply for their Dan Grading Examination

Email Address *

Current Year *

Upcoming Grading Date *

Name *

Surname *

Age *

Date of Birth *

Gender *FemaleMale

Cell *

Dojo *

Current Rank *Jnr Black 3Kyu 1ShodanNidanSandanYondanGodanRokudan

Date of last grading *

Period practising karate *

I hereby confirm that I am eligible to apply to grade *I am eligible

Testing For *ShodanNidanSandanYondanGodanRokudan

If you are under the age of 18, you confirm that your parent(s) have given their consent for you to apply *Yes, I have consentI'm over 18

I hereby confirm that my Dojo Head is aware of my application submission *Yes

I hereby accept that I will receive an invoice for the Grading fee *Yes

I hereby accept that my application is subject to approval from my Dojo and Organisation Head *Yes

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