Regular Chuo Shinsa Application (Shogo, Rokudan and Above)

Shinsa Application Form
To the President of the All Nippon Kyudo Federation

(For Shogo/Rokudan and above)
Your email
enter your email address to receive confirmations
Which State Renmei Head will approve your application?
This is your state federation, NOT your dojo affiliation
Choose your dojo leader here. Your application will be sent to your dojo leader for approval BEFORE being sent to the State Renmei Head.
If your dojo leader is no on this list, please go on to the next question.
Dojo Leader Email
will be automatically entered by previous choice
State Renmei Leader Email
will be automatically entered by previous choice
Your Information
Today's Date

YearMonthDay
Full Name (English)

First Name (English)Last Name (English)
Full Name (Japanese)

First Name (Japanese)Last Name (Japanese)
Date of Birth

YearMonthDay
Date of Birth
Age on Day of Shinsa
Gender
Address
Include city, state, zip and country

Rank History (YYYY/MM)

Positions Held (International, National or Local)

Enter most recent positions first, include the start date of the positions listed
Year
Start date of Most recent position held
Month
Start date of Most recent position held
Position Details
Most recent position held
- Year
  Start date of 2nd most recent position held
- Month
  Start date of 2nd most recent position held
- Position Details
  2nd most recent position held
- Year
  Start date of 3rd most recent position held
- Month
  Start date of 3rd most recent position held
- Position Details
  3rd most recent position held
- Year
  Start date of 4th most recent position held
- Month
  Start date of 4th most recent position held
- Position Details
  4th most recent position held

Name of Shinsa
Date

YearMonthDay
Date
Date
Please use format YYYY/MM/DD
Venue
Remarks
Rissha or other pertinent information
IKYF ID Number

Enter each digit in it's own field to ensure it lays out on the form clearly.

IKYF ID Number

Rows	Digit 1	Digit 2	Digit 3	Digit 4	Digit 5	Digit 6	Digit 7
ID Number

Signature & Essay upload section
For written exams, please use one of these type-able PDF templates:
- English
- Japanese
Essay upload

If you are required to submit a written exam along with your application, please upload the document here.
Cancelof
Name of National Federation Association
Applicant's Signature
Should be Empty:

Your Information