Grading Registration Form

Date of Grading*

Your email*

Submitter*

Examiner*

Student's Dojo* —Please choose an option—AberdeenBlackpoolPoulton Karate Academy (PKA)SBKAStornowayThameWorcester

Student's Name 1

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No. (incl K prefix)

Student's Name 2

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 3

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 4

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 5

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 6

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 7

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 8

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 9

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.

Student's Name 10

Grade Achieved —Please choose an option—12 Kyu11 Kyu10 Kyu9 Kyu8 Kyu7 Kyu6 Kyu5 Kyu4 Kyu3 Kyu2 Kyu1 Kyu1st Dan2nd Dan3rd Dan4th Dan5th Dan6th Dan7th Dan

Cert. No.