World Taekwondo Federation-Kyung Hee University Taekwondo Program APPLICATION FORM (2013)

* Please type or print in English and in CAPITAL LETTERS. * Please send this form and all other required documents to International Taekwondo Academy in Kyung Hee University via e-mail at khuita@khu.ac.kr . Program Type (Please tick)
( ) Sparring athletes course (Jun. 26 - Jul. 9, 2013) ( ) Poomsae & Demonstration athletes course(Jun. 26 - Jul. 9, 2013) ( ) Taekwondo Camp(Aug. 5 - 11, 2013) ( ) Sparring coaches course(Nov. 11-24, 2013) ( ) Poomsae & Demonstration coaches course(Nov. 11-24, 2013)

(Photo)

Name

First name

/ Middle name /

Family name

Date of birth Classification Nationality Mailing Address E-mail Kukkiwon Dan Recommendation by MNA President

Month( Athlete (

) Day (

) Year(

) Sex

M( F( )

) Coach ( ) Color belt ( ) Place of birth (city/nation)

Place of residence (city/nation) Contact Number: Country Code / Area Code / Subscriber No.

Dan Grade

Dan Number

Date of Issuance

Name of country

Name of MNA President

Signature of MNA President

(Date):

, 2013

----------------------------------------------(Signature of applicant)

World Taekwondo Federation