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