Exam details

    Date of the exam *

    Location of the exam *

    Which dan grade exam are you taking? *
    Shodan (1st dan)Nidan (2nd dan)Sandan (3rd dan)

    Is the exam a retake? *
    NoYes

    If it's a retake, please type in the date and location of the previous exam

     

    Candidate details

    First and Lastname *

    Date of birth *

    Age *

    Street address *

    Postal code *

    City *

    E-mail address *

    Telephone *

    Club *

    Instructor/coach *

    The year when you started training karate *

    Current grade, date of issue, issued by and location *

    The registration No. of current grade if it's a JKF Wadokai dan grade

    Wadokai membership number, if you are a Wadokai member

     

    I have checked and confirmed the above information to be correct