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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.
REQUEST FOR ...... KYU REGISTRATION
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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