中跆协晋段申请表.doc

中跆协晋段申请表ApplicationforPromotionTest1寸标准照2张1ID-sizephotoattachwithpaste国籍Nationality(Citizen)中国住址AddressTele-mail姓名Name中文出生日期DateofBirth年Year现有段位CurrentGrade申请段位Dan/::申请日期Dateofapplication:申请人Applicant:国家country中国所属协会NameofAssociation/Dojang中国跆拳道协会(CTA)mendedby协会地址AddressofAssociation/-3TiyuguanRoad, mender`sDanCertificateNoorDateofBirthSECRETARYGENERALChongwenDistrict,Beijing,China100061Tel/Fax/e-mail8718-2942/8718-2932/KUKKIWON(WorldTaekwondoHeadquarters):::menderofapplicantshouldensurethatnofalsestatementwillbefoundintheapplication,otherwise,.