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.
In which language do you plan to write your written test?
The only options are English and Japanese.
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
4 digit year, 2 digit month, 2 digit dayDate
Name in English

First NameLast Name
Name in Japanese

First NameLast Name
Date of Birth

YearMonthDay
Age at Time of Seminar
Gender
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
4 digit year, 2 digit month, 2 digit dayLeave 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
4 digit year, 2 digit month, 2 digit dayDate, 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

Dates of Promotions

Leave any promotions you do not have blank.
Ikkyu Promotion Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYYYY/MM/DD
Nikyu Promotion Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYYYY/MM/DD
Shodan Promotion Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYYYY/MM/DD
Nidan Promotion Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYYYY/MM/DD
Sandan Promotion Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYYYY/MM/DD

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. DO NOT include shinsa in this list!

2MonthANKF/IKYF Seminar Attendance Record

Rows	Year	Month	Event Title
Most recent
Event
Event
Event
Event
Event
Event
Event
Event
Event
Event

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

Rows	Year	Month	Accomplishment
Most recent
Event
Event
Event

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

Rows	Year	Month	Position Details
Most recent
Event
Event
Event
Position

Current Shinsa Information
Name of Shinsa
The official title of this shinsa, edit if taking a different shinsa.
Shinsa Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayConfirm 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)

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

Signature of Applicant
Should be Empty:

Shinsa Application Form

Your Information

Present Rank

Kyudo Career

Dates of Promotions

ANKF/IKYF Seminar Attendance Record

ANKF/IKYF Taikai Accomplishments

Kyudo Organization Positions Held

Current Shinsa Information