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XSKR KYU GRADING EXAMINATION
XTREME SHOTOKAN KARATE-DO RENMEI
OFFICIAL KYU Grading Registration Form
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* Indicates required question
Email
*
Your email
FULL NAME (CAPITAL LETTERS)
*
Your answer
GUARDIAN'S NAME
*
Your answer
CONTACT NO
*
Your answer
MEMBERSHIPS NO
Your answer
DATE OF BIRTH
MM
/
DD
/
YYYY
GENDER
*
Male
Female
DATE OF LAST GRADING
Your answer
PRESENT DATE OF GRADING
*
MM
/
DD
/
YYYY
PRESENT KYU/BELT GRADE
*
WHITE BELT
8tH KYU YELLOW
7th KYU ORANGE
6th KYU GREEN
5th KYU BLUE
4th KYU PURPLE
3rd KYU BROWN III
2nd KYU BROWN II
1st KYU BROWN I
Other:
APPEARING FOR
*
8th KYU
7th KYU
6th KYU
5th KYU
4th KYU
3rd KYU
2nd KYU
1st KYU
Other:
LAST GRADING CERTIFICATE NO
Your answer
INSTRUCTOR NAME (SENSEI)
*
Sensei Yogesh Kambli
Sensei Amrut Dudhane
Sensei Kiran Kadam
Sensei Prathamesh Rasal
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