Application Form For Kukkiwon Certificate Only Page 3

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I enclose a cheque/postal order made payable to British Taekwondo, to the sum of
(See schedule below for details. Do not send cash.)
____________
£
Grade
Grading Fee
Grade
Grading Fee
st
th
1
Dan/Poom
£50
5
Dan
£190
nd
th
2
Dan/Poom
£60
6
Dan
£220
rd
th
3
Dan/Poom
£80
7
Dan
£280
th
4
Dan/Poom
£100
CERTIFICATION DETAILS
The items listed below need to be included in all applications. If however any of the items are not included or have been
incorrectly filled in, your application will be returned and a £30 administration fee will be charged for each applicant.
To ensure that all the necessary details are included and to avoid disappointment, click on the boxes to indicate each
item enclosed.
Only photocopies of British Taekwondo/ETU Certificates will be accepted. No
1st Kup applicants only
other form of Kup certificate is acceptable for 9th to 1st Kup inclusive.
Photocopy of British Taekwondo Dan Certificates & Kukkiwon certificates (or proof
st
1
Dan/Poom & above only
of grade).
Stamped addressed envelope
Must be enclosed for the return of the confirmation receipt or incomplete details.
nd
If you are currently time-barred (for Kukkiwon Certification) for 2
Dan or higher-
Proof of grade
grade please tick box and include proof of grade.
Copy of Kukkiwon letter, if received
The following items must be fixed in the spaces provided on the application form.
Photocopy of current BT
Applicants must possess current British Taekwondo membership.
licence slip.
Cheque/postal order
Payable to British Taekwondo. Cash will not be accepted.
Please separate each photo and write the name of the applicant on the back of
Two passport photos
each photo, and attach each photo to the BT application form with a paper clip.
Notes
(1)
Once your application has been accepted, a confirmation receipt will be returned to you in the stamped,
addressed envelope that you provide. You must bring along your confirmation receipt on the day of the grading.
(Without the receipt you may be unable to take the grading).
(2)
If any cheques are not honoured (i.e., ‘bounce’), a £20 administration fee will be charged for each cheque.
(3)
Applications will only be accepted through British Taekwondo Membership Services, Office 6, The Business Place,
Park Road, Mansfield Woodhouse, Nottinghamshire, NG19 8ER. No applications will be accepted by hand.
Please note: BT will complete the Kukkiwon application form.
When sending your form please be sure to:
Enclose a stamped addressed envelope for EACH application.
Ensure you weigh your mail before sending.
Do not attempt to deliver applications by hand. No applications will be accepted by hand.
Applications will only be accepted at:
British Taekwondo Membership Services,
Office 6,
The Business Place,
Park Road,
Mansfield Woodhouse,
Nottinghamshire,
NG19 8ER

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