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INDONESIA KENDO ASSOCIATION

GRADING APPLICATION FORM

Nama / Name ID /Passport No.

Tanggal Lahir / Date of Birth Umur / Age Jenis Kelamin / Gender

Pekerjaan / Ocupation No. HP / Mobile No. E-mail

Alamat / Address

Nama Dojo / Dojo Name Grading Sekarang / Present Grade Ujian untuk Grade / Grade Applied

Tanggal Ujian Terakhir / Last Date of Tempat mendapat grade terakhir / Place or country where present grade was awarded
Examination

Tanda tangan Peserta Direkomendasikan oleh Ketua / Guru Besar Dojo


Applicant’s Signature Endorsed by Dojo’s Main Sensei / Chair

Disetujui oleh / Approved by (For Overseas Applicant Only) Disetujui oleh / Approved by

President : President :

Overseas Organisation : Indonesia Kendo Association

BIAYA UJIAN / GRADING EXAMINATION FEE

Grade IKA Members International Applicants


All KYU Levels IDR 150.000,-  
1 DAN IDR 500.000,- IDR 800.000,-
2 DAN IDR 800.000,- IDR 1000.000,-
3 DAN IDR1.000.000,- IDR 1.500.000,-
4 DAN IDR 2.000.000,- IDR 3.000.000,-
5 DAN IDR 3.000.000,- IDR 4.500.000,-

TANDA TERIMA / RECEIPT

Indonesia Kendo Association has received from _________________________________ an amount of _________________________ for the payment of
Grading Examination for grade _______.

Signed,

_____________________, _____ / ______ / 20____

<__________________________________>
Indonesia Kendo Association

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