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    STEVY HANNY Form Kukkiwon High DAN

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    Stevy Hanny
    1) The document is an application for recommendation for a Kukkiwon High DAN black belt rank. 2) It provides personal information about the applicant such as name, gender, date of birth, nationality, occupation, current Kukkiwon Dan grade, Dan certificate number, mobile number, email, and shipping address. 3) It includes spaces for recommendation and signature by the President of the applicant's national Taekwondo association.

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    STEVY HANNY Form Kukkiwon High DAN

    Uploaded by

    Stevy Hanny
    15 views2 pages
    1) The document is an application for recommendation for a Kukkiwon High DAN black belt rank. 2) It provides personal information about the applicant such as name, gender, date of birth, nationality, occupation, current Kukkiwon Dan grade, Dan certificate number, mobile number, email, and shipping address. 3) It includes spaces for recommendation and signature by the President of the applicant's national Taekwondo association.

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    STEVY HANNY form kukkiwon high DAN

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    1) The document is an application for recommendation for a Kukkiwon High DAN black belt rank. 2) It provides personal information about the applicant such as name, gender, date of birth, nationality, occupation, current Kukkiwon Dan grade, Dan certificate number, mobile number, email, and shipping address. 3) It includes spaces for recommendation and signature by the President of the applicant's national Taekwondo association.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views2 pages

    STEVY HANNY Form Kukkiwon High DAN

    Uploaded by

    Stevy Hanny
    1) The document is an application for recommendation for a Kukkiwon High DAN black belt rank. 2) It provides personal information about the applicant such as name, gender, date of birth, nationality, occupation, current Kukkiwon Dan grade, Dan certificate number, mobile number, email, and shipping address. 3) It includes spaces for recommendation and signature by the President of the applicant's national Taekwondo association.

    Copyright:

    © All Rights Reserved
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    of 2

    APPLICATION

    Recommendation Kukkiwon High DAN

    Application for the Kukkiwon High DAN

    Last Name: (Family) Name:


    Name
    HANNY STEVY
    Residence Where you belongs to: M( ) / F( )
    Gender
    (MNA) JAKARTA
    (MM/DD/YEAR)
    Nationality INDONESIA Date of Birth
    16/12/1972
    Occupation Private
    Kukkiwon Dan Date of Issue
    6th 06/05/2013
    Grade (MM/DD/YEAR)

    Kukkiwon Dan
    05077608 TCON user ID : stevy1672
    Certificate No.
    Mobile Number +62 811922218
    E-mail Stevy1672@gmail.com

    STC SENAYAN 3rd FLOOR NO. 173 B JLN ASIA AFRIKA SENAYAN JAKARTA PUSAT 10270 INDONESIA/
    Valuable
    Taman Pondok Gede Blok D3 No.2. Kel. Jatirahayu Kec. Pondok Melati. Kota Bekasi. Jawa Barat. Indonesia
    Shipping Address
    17414

    Recommendation by Name: Signature:

    Member National Lieut.Gen (ret)H.M.THAMRIN


    Association President MARZUKI S.Sos

    (ONLY!!)
    APPLICATION
    Recommendation Kukkiwon High DAN

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