SEUSKF Sensei Promotion Approval

SEUSKF Sensei Promotion Approval
Name of Applicant (as it appears in AUSKF membership)

First NameLast Name
Date of Shinsa

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Rank Requested
Promotion Location (City, State)
By signing this form, I am giving my approval to the applicant to test for the rank ( as listed above) to participate in the shinsa indicated on this form.
Sensei NameName (Print) * Date Signed Date
Signature of Sensei
Should be Empty: