2022 KKW CA Registration

2022 kukkiwon seminar

in California, USA

November 9th to 13th

registration form

PARTICIPANT Information

This address will be used as your shipping address to send out your Master & Poom/Dan Certificate. Make sure to properly type.

First Name

Phone Number

Address

Last Name

State

Resident Country

Zip Code

Date of Birth

INTERNATIONAL MASTER COURSE

November 9th — 12th

1st Class - License Course; Kukkiwon 8th Dan and 2nd Class Master Certificate, or Kukkiwon 9th Dan and Master Certificate (Issue Date prior 1996) ($400)

2nd Class - License Course; Kukkiwon 6th — 7th Dan and 3rd Class Master Certificate ($400)

3rd Class License Course; Kukkiwon 4th — 5th Dan (at least 20 years old) ($4oo)

Passed Online Theory - License Course; min. 4th Dan Kukkiwon holder (at least 20 years old) ($3oo)

Diploma Course; min. 2nd Dan Kukkiwon holder (at least 20 years old); license application after 4th Dan ($400)

Refresher Course, already certified applicant, non- certification course ($400)

Retest ($150)

None

POOM/ DAN EXAMINER COURSE

November 12th — 13th

1st Class - License Course; Kukkiwon 8th Dan and 1st or 2nd Class Master Certificate ($350)

2nd Class - License Course; Kukkiwon 6th — 7th Dan with 3rd Class Master Certificate. (at least 21 years old) ($350)

3rd Class License Course; Kukkiwon 4th — 5th Dan (at least 21 years old) with permanent residence or citizenship in their staying country and a 3rd Class Master Certificate. ($350)

Refresher Course, already certified applicant, non- certification course ($350)

Retest ($150)

None

KUKKIWON DAN Information

Kukkiwon Dan Name

Kukkiwon Dan Number

Kukkiwon Dan Nationality

Kukkiwon Dan Issue Date

KMS Information

KMS Number

KMS Name

Master Certificate

ID Number

Issue Date

POOM/DAN examiner Certificate

ID Number

Issue Date

Hanmadang Referee

ID Number

Issue Date

Registration Documents

Upload a close-up photo of yourself in color.

Upload

Upload a photo of either your driver's license or passport ID.

Upload

Upload a Copy of your current Kukkiwon Dan Certificate.

Upload

Copy of Master Certificate

Upload

(1st or 2nd Class Master Course Candidates)

Copy of Current Certification (Refresher Participants)

Upload

Copy of Examiner Certificate

Upload

(1st or 2nd Class Examiner Course Candidates)

Proof of Participation (Re-Test Participants)

Upload

Proof of Passing the Online Theory Master Course

Upload

(1st or 2nd Class Examiner Course Candidates)

Waiver & Policies

I agree to the above Waiver & Agreement

Submit

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WTMU

WORLD TAEKWONDO MASTERS UNION

2022 kukkiwon seminar

in California, USA

November 9th to 13th

registration form

PARTICIPANT Information

INTERNATIONAL MASTER COURSE

November 9th — 12th

POOM/ DAN EXAMINER COURSE

November 12th — 13th

KUKKIWON DAN Information

KMS Information

Master Certificate

POOM/DAN examiner Certificate

Hanmadang Referee

Registration Documents

Waiver & Policies