Name (in English or Japanese)
*
First Name
Last Name
Name (furigana, if needed)
First Name
Last Name
Gender
*
Male
Female
Current Rank
Mudan
Shodan
Nidan
Sandan
Yondan
Godan
Renshi Godan
Renshi Rokudan
Kyoshi Rokudan
Kyoshi Nanadan
Kyoshi Hachidan
Hanshi
Age (at the time of the event
*
Cell Phone Number
*
-
Country Code
-
Area Code
Phone Number
Enter your IKYF ID Number
*
Rows
Digit 1
Digit 2
Digit 3
Digit 4
Digit 5
Digit 6
Digit 7
IKYF ID #
Enter your highest Shogo certification
Please Select
錬
教
範
錬 = Renshi 教 = Kyoshi 範 = Hanshi
Date Shogo was awarded
Rows
Year (YYYY)
Month (MM)
Day (DD)
Service Quality
Enter your highest Dan Rank
*
Please Select
初
弍
三
四
五
六
七
八
初 = Shodan 弍 = Nidan 三 = Sandan 四 = Yondan 五 = Godan 六 = Rokudan 七 = Nanadan 八 = Hachidan
Date Dan was awarded
Rows
Year (YYYY)
Month (MM)
Day (DD)
Date Awarded
Group Affiliation
*
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