Transcription of Shinsa Application Form (For Kyu Rank/Godan and Under)
1 Year/Month/DayBegan Kyudo with( )Current Affiliation( )Current Instructor( )Notes: MonthDetailsDate Obtained (Year/Month/Day)Date Obtained (Year/Month/Day)MonthDetailsYear MonthDetailsYear Dates of Promotions (Year/Month/Day) AddressMonthRemarks (Rissha or other pertinent information)DanMushiteiKyu In the case of false information, the applicationNameSandanShinsa Category Applicants should write within the heavy-lined areas onlyDateVenue I approve the above applicant's Shinsa ApplicationShinsaCategoryNamePresentDanR ankKyuPresentANKF KyuRank(in Japanese)Name of Shinsa :F(For Kyu Rank/Godan and Under) MDate: Shinsa Application FormTo the President of the All Nippon Kyudo FederationDate ofBirthLast NameFirst NameAge on Day of Shinsa : Application form should be CareerIkkyuNikyuNidanShodanDetailsID Taikai Accomplishments (Year/Month/Day)Signature of National PresidentANKF/IKYF Seminar Attendance Record Name of National Federation / Association(fill-in with red ink) Copied Application forms will not be of Shinsa will be made of Shinsa :Positions Held ( International, National or Local) Signature of Applicant
