COVER SHEET

for 2024 Dan Promotion by Recommendation

Documents must arrive at Hombu by October 31st 230828Ver.

Recommendation by Date of application: / / 2023

Recommender's Name Mr./Ms. Membership No.:

Recommender's Dan Dan Email Address:

Organization Name Telephone No.:

We are an organization recognized by Hombu (please check) Yes No

Nominees' List (please print or type) *Must fill in items

*First Name *Family Name *Diploma ※ Enclosed

List *Aikikai reception
*Requested
membership rank method: Aikikai Member-
No. No. (given name) (surname) A) at Hombu Yudansha ship
write in CAPITAL LETTERS write in CAPITAL LETTERS B) by air mail Book Card

e.g. 111222 ICHIRO SUZUKI 5 dan B ☑ ☑

5
・If there are more than 5 nominees, please add lines.

The application procedure for Dan Promotion by Recommendation needs the documents below.
Please send the necessary documents in paper copy by post mail to arrive by October 31st (Japan time).
① Coversheet
② Brief Record & Application Form (Signed by recommender)
③ Support Fee Application (at the discretion of recommender/nominee)
④ Yudansha Book
⑤ Aikikai Membership Card

Address for mailing the diplomas and invoices

Recipient's Name: Mr. / Ms.
E-mail
Mailing Address: Mo.#
Tel No.
Invoice Name From June 2021, all invoices issued by the
Invoice
who pay the Aikikai Foundation are sent via email in
Format
registration fee PDF format
▲ When allowed by postal conditions, the diplomas will be sent to the above person with the invoice.
▲ Payment should be done within 2 (two) months from the issued date by wire transfer.

Remarks : If you have any requests, e.g. packing method, shipping timing, etc, please write in this box.

*
*

＜Yudansha Books and Aikikai Membership Cards＞

Send Yudansha Books and Membership Cards with the Promotion by Recommendation applications by post mail.
Do not send Yudansha Books and Membership Cards independent from Recommendation applications.
Send Yudansha Books and Membership Cards with the Promotion by Recommendation applications by post mail.
Do not send Yudansha Books and Membership Cards independent from Recommendation applications.

・The Aikikai treats all information with the greatest care and in accordance with the laws on protection of personal information.
2024SUISEN
 2024 Dan Promotion by Recommendation

Brief Record of the nominee

230828Ver.

Name First (given) Name Family Name Aikikai Membership No.

Mr. / Ms.

Years and months since last rank registration:

Relationship to the recommender:
Frequency of teaching (from the recommender to the nominee):
Reasons for Recommendation:

▼ Brief sketch of nominee's Aikido career, position in your dojo/organization, etc.

*
*
*
▼ Does the nominee belong to the same organization in which s/he was promoted to her/his previous rank?
Yes No ※If "No", please explain the reasons of their organization change, and proof of their practice time at the previous organization:

▼ Average days of practice of the nominee (including the days when the nominee is teaching)
Days of practice (1 week): Days of practice (1 year):
Total days of practice
and teaching (1 year): 0
Days of teaching (1 week): Days of teaching (1 year):

Recommender's Name (print in CAPITAL LETTER) (signature) date

Documents must arrive at Hombu by October 31st

*Aikikai Use SUISEN

Certificate No.
AIKIKAI FOUNDATION 2024SUISEN

(Stamp) AIKIDO WORLD HEADQUARTERS Rank Applied

17-18 Wakamatsu-cho Shinjuku-ku, Tokyo 162-0056 JAPAN

YB MC SF Dan
APPLICATION FORM
(FOR DAN PROMOTION by RECOMMENDATION )
*Please print or type Request date: 30-Dec-99
Aikikai Membership No. 0 Date of Enrollment in Aikikai:
First Name (write in CAPITAL LETTERS): Family Name (write in CAPITAL LETTERS):

0 0
Date of Birth: Age: Sex: male female Nationality

Post Address:

Name of dojo/
organization:
Name of instructor:

Current Rank Information: Name of examiner or recommender of current rank Current Rank was obtained by
Date of Registration of current rank
DAN Examination
Kyu Recommendation
Recommended by 0 Signature
(Print in CAPITAL LETTERS)

・The Aikikai treats all information with the greatest care and in accordance with the laws on protection of personal information.
*Aikikai Use

230828Ver.
 2024 Dan Promotion by Recommendation

Brief Record of the nominee

Name First (given) Name Family Name Aikikai Membership No.

Mr. / Ms. ICHIRO SUZUKI 111222

Years and months since last rank registration: 7 years and 6 months.
Relationship to the recommender: He has been my student at KORISU DOJO since 1987.
Frequency of teaching (from the recommender to the nominee): Since he started Aikido in 1987, twice a week.
Reasons for Recommendation: He practices Aikido enthusiastically 4 days a week after he obtained 4th dan.

▼ Brief sketch of nominee's Aikido career, position in your dojo/organization, etc.

* He teaches children's class of our dojo once a week since 2018.
* He participates in several International seminars held in Summer in Europe since 2000.
* He is member of the Grading Committee in my organization

▼ Does the nominee belong to the same organization in which s/he was promoted to her/his previous rank?
Yes ✘ No ※If "No", please explain the reasons of their organization change, and proof of their practice time at the previous organization:
He practiced at ABC dojo for 3 years after he obtained 4th Dan. He has been practing at our dojo for 4 years now.

E
▼ Average days of practice of the nominee (including the days when the nominee is teaching)

L
Days of practice (1 week): 4 Days of practice (1 year): 200 Total days of practice
and teaching (1 year):
250
Days of teaching (1 week): 1 Days of teaching (1 year): 50

P
Recommender's Name (print in CAPITAL LETTER) (signature) date

MUSASHI MIYAMOTO 宮本 武蔵 30-Sep-23

M
Documents must arrive at Hombu by October 31st

A
*Aikikai Use SUISEN

S
Certificate No.
AIKIKAI FOUNDATION 2024SUISEN

(Stamp) AIKIDO WORLD HEADQUARTERS Rank Applied

17-18 Wakamatsu-cho Shinjuku-ku, Tokyo 162-0056 JAPAN

YB MC SF 5
APPLICATION FORM
(FOR DAN PROMOTION by RECOMMENDATION )
*Please print or type Request date: 30-Sep-23
Aikikai Membership No. 111222 Date of Enrollment in Aikikai: 01-May-01
First Name (write in CAPITAL LETTERS): Family Name (write in CAPITAL LETTERS):

ICHIRO SUZUKI
Date of Birth: 01-Jun-80 Age: 43 Sex: male female Nationality Japanese

Post Address: 1-2-3 chipmun-ku, Tokyo 160-0000 JAPAN

 Name of dojo/
organization: KORISU DOJO Name of instructor: Mr. Kojiro Sasaki
Current Rank Information: Name of examiner or recommender of current rank Current Rank was obtained by
4 DAN Date of Registration of current rank
✘ Examination
Kojiro Sasaki
Kyu 31-Mar-16 Recommendation

Recommended by MUSASHI MIYAMOTO Signature 宮本 武蔵

(Print in CAPITAL LETTERS)

・The Aikikai treats all information with the greatest care and in accordance with the laws on protection of personal information.
*Aikikai Use

230828Ver.
 230828Ver.
Membership No.

111222

1987, twice a week.

e obtained 4th dan.

000.

ous rank?
previous organization:

dojo for 4 years now.

eaching)

250

date

30-Sep-23

2024SUISEN

k Applied

Dan

30-Sep-23

01-May-01

panese
ro Sasaki
nk was obtained by
mination
ommendation

武蔵
ersonal information.

230828Ver.
 AIKIKAI FOUNDATION
AIKIDO WORLD HEADQUARTERS
APPLICATION FORM FOR
Yudansha(DAN holder) Support Fee

MP LE Date: 14-Sep-2023

SA
(dd / Mmm. / yyyy)

I hereby apply for the Yudansha Support Fee* as follows.

*Yudansha Support Fee is JPY 1,000/unit. Payment and choice of the number of unit are on your voluntary decision.

Japanese Yen : 1,000 ( 1 units )

Applicant's Name: Ruriko YOKOI
Post Address: 1-2-3 Wakamatsu-cho Shinjuku-ku Tokyo 456789 Japan
Please Print or Type

Other References
Aikikai Membership Number: International Yudansha Book Number:

777888 AF-98745
Name of Dojo : Hombu Dojo

As you know, at the moment of Shodan registration, 1,000 Yen (one unit) are charged
as Support Fee. At any time, it is possible to make a contribution to Aikikai in the way of
a Support Fee payment. We are truly thankful for your support and contribution to
Aikikai. To those who made a Support Fee offer, a stamp (support fee sticker) will be
added/pasted on the Yudansha-Book as a receipt of the payment.

-The Aikikai treats all information with the greatest care and in accordance with the laws on protection of personal information. FORM-4
230828Ver.

AIKIKAI FOUNDATION
AIKIDO WORLD HEADQUARTERS
APPLICATION FORM FOR
Yudansha(DAN holder) Support Fee

Date:
(dd / Mmm. / yyyy)

I hereby apply for the Yudansha Support Fee* as follows.

*Yudansha Support Fee is JPY 1,000/unit. Payment and choice of the number of unit are on your voluntary decision.

Japanese Yen : ( units )

Applicant's Name:

Post Address:
Please Print or Type

Other References
Aikikai Membership Number: International Yudansha Book Number:
 Name of Dojo :
-The Aikikai treats all information with the greatest care and in accordance with the laws on protection of personal information. FORM-4
2024SUISEN