Poom to Dan Conversion Form

Poom to Dan Conversion Form

Momentum Taekwondo
Student's Full Name
Last 4 Digits of Student's NRIC
Example: 123A
Student's Gender
Student's Date of Birth

DayMonthYear
Date
Current Belt Level
Parent's Contact Number
Email [For Receipts]
Optional
Home Address

Address

Unit Number

State / Province

Postal / Zip Code

Conversion Type

1st Dan Conversion. Student has to be 1st Poom & 15 years old.

1st Dan Conversion

Student has to be 1st Poom & 15 years old.

$50.00 SGD

2nd Dan Conversion. Student has to have converted to 1st Dan already.

2nd Dan Conversion

Student has to have converted to 1st Dan already.

$70.00 SGD

3rd Dan Conversion. Student has to have converted to 2nd Dan already.

3rd Dan Conversion

Student has to have converted to 2nd Dan already.

$100.00 SGD

Enter coupon

Total

Refer to the amount above & PayNow via UEN 202003068C (Momentum Academy). Please input the student's name followed by 'Conversion' as a reference when transferring (example: Ryan Conversion).

Refer to total amount stated above.
Cancelof

Method 1

Step 1. Save/screenshot the QR code and save it as a photo.

Step 2. Go to the QR scanner in your mobile banking application.

Step 3. Upload the QR code from your photo album and to the bank app.

Step 4. Key in the amount to pay.

Step 5. Confirm Payment.

Method 2

Step 1. Open banking app on another phone.

Step 2. Click Scan and Pay then scan QR Code

Step 3. Key in the amount to pay.

Step 4. Confirm Payment.

Should be Empty: