SZA Dan Grading Application Form

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Please read our Privacy Policy relating to the processing of personal information, before you complete the form below.

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 *Please select an optionJnr Black 3Kyu 1ShodanNidanSandanYondanGodanRokudan

Date of last grading *

Period practising *

Type of Grading *Please select an optionKarateKobudo

Testing For *Please select an optionShodanNidanSandanYondanGodanRokudan

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

I am eligible

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

You will receive a PDF copy of the form you have submitted as soon as it has been processed.

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Please do not fill in this field.

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