Digital Shinsa Application For Godan and Under

Shinsa Application Form

To the President of the All Nippon Kyudo Federation

(For Kyu Rank/Godan and Under)
Your email*
Please enter your email so you can receive confirmation.
Which STATE Renmei Head will approve your application?*
This is your state federation, NOT your dojo affiliation
If your state affiliate has more than one dojo, please choose your dojo leader here.
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 Head Email*
will be automatically entered by previous choice
Your Information
Today's Date*

YearMonthDay
Date
Name in English*

First NameLast Name
Name in Japanese

First NameLast Name
Date of Birth*

YearMonthDay
Age at Time of Seminar*
Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

CityState/Province

Postal/Zip CodeCountry
Present Rank

For kyu or dan ranks currently held.
Present Kyu Rank Held
Leave blank if none
Present Rank Kyū Date Obtained

YearMonthDay
Leave blank if none
Location of Kyū Shinsa
City and Country, Leave blank if none
Present Dan Rank Held
Mu = none, Sho= 1, Ni=2, San=3, Yon=4, Go=5
Present Rank Dan Date Obtained

YearMonthDay
Date, Leave blank if none.
Location of Shinsa for Dan Received
For video shinsa, write "2023 Video Shinsa", Leave blank if none.
Shinsa Category*
The rank for which you are testing

Kyudo Career
Year you began kyudo*
The year you began your study of kyudo
Month you began kyudo*
The month you began your study of kyudo
Began Kyudo With...*
Name of the person who started teaching you kyudo.
Rank of your first kyudo instructor*
Current Affiliation*
PLEASE INCLUDE YOUR STATE FEDERATION IN ADDITION TO YOUR DOJO NAME.
Current State Renmei*
Name & Rank of current instructor*
e.g. Carly Born, Renshi Godan

ANKF/IKYF Seminar Attendance Record

Enter year in the YYYY format, the month in the MM format and use a single line for the Event Info. Leave fields blank if you do not have info to enter.

MonthANKF/IKYF Seminar Attendance Record

ANKF/IKYF Taikai Accomplishments

Enter year in the YYYY format, the month in the MM format and use a single line for the Event Info. Leave fields blank if you do not have info to enter. Please only include taikai events sanctioned by the ANKF or IKYF. Local taikai events should not be included.

ANKF/IKYF Taikai Accomplishments

Kyudo Organization Positions Held

Enter year in the YYYY format, the month in the MM format and use a single line for the Event Info. Leave fields blank if you do not have info to enter.

Positions Held

Current Shinsa Information
Name of Shinsa*
The official title of this shinsa
Shinsa Date*

YearMonthDay
Confirm the date of the shinsa for which you are applying.
Venue*
City, Country
Special Remarks?
Do you do rissha? If so, please type Rissha here. It will be formatted in Red when the form is complete.

IKYF ID Number (leave blank if you don't have one yet)

	Digit 1	Digit 2	Digit 3	Digit 4	Digit 5	Digit 6	Digit 7
IKYF ID #

Shinsa Application Form