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            I would like to request that your list my rank in the black-belt or Kyu holder's 

register of your association. I hereby declare that I will perform no acts which might 

detract from the honour of a black belt or Kyu holder.

Choose File

REQUEST FOR ...... KYU REGISTRATION

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Date of Examination

Position

Tel

Sensei's Name

Instructor Name

Address

Permanent Address

Present Address

Occupation 

and

Office Address

Last School / College

Sensei's 

Reference

Date of Exam.

Certificate No.

Date of Exam.

Certificate No.

Karate

Grading Record

9th Kyu

8th Kyu

7th Kyu

6th Kyu

5th Kyu

4th Kyu

3rd Kyu

2nd Kyu

1st Kyu

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