RECOMMENDATION FOR PROMOTION IN RANK

 

           

1.                Name in full  Mr./ Miss/

 

 

                 

2.                Address

 

       

      3.    Date & Place of birth  

 

 

      4.    Educational qualifications   

 

 

      5.    Occupation

 

 

      6.    No. of years of Judo training

 

 

      7.    Last rank received Date

 

 

      8.    Rank now recommended   

 

     

9.                Name of Club     

 

 

10.            Kata you are proficient in   

 

      11.   Contest record :

 

     

Date

Place

Opponent & Rank

Result

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

          

       12.  Brief history of candidate

 

 

 

 


                                         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Examined by

 


                                         

 

 

                                          (Name(s) of Examiner and Rank)

           

                                          Date of the Exam

 

 


                       

                       

                                         

 


(Signature of Club President)