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Dan Grading Application Taekwondo Chungdokwan Great Britain 19th April 2017 Dear Members, The next Dan grading to be hosted by TCGB will take place from 11am to 4pm on Sunday 11th June 2017 at: Tiffin Sports Centre, Queen Elizabeth Road, Kingston upon Thames, KT2 6RL. Please note that only instructors will be permitted in the examining hall to spectate. Please also note the syllabus update that the pattern of choice must be Taegeuk Sa Jang or above. To check eligibility, provided below is the minimum period between grades and the fees: Grade Minimum Minimum TCGB Kukkiwon Chung Do Plaque Applied Wait Since Continuous Grading Fee Kwan (optional) For Last Period of TCGB Fee Korea Grading Membership (optional) 1st Dan 6 months 6 months £60.00 £55.00 £50 NA 2nd Dan 1 year 1 year £80.00 £65.00 £70 NA 3rd Dan 2 years 1 year £100.00 £85.00 £90 NA 4th Dan 3 years 2 years £120.00 £100.00 £120 £150 5th Dan 4 years 2 years £200.00 £200.00 £170 £150 6th Dan 5 years 2 years £250.00 £300.00 £250 £200 All candidates for Dan gradings are required to apply for their Kukkiwon certification at the same time as they grade for their TCGB grade. In recognition that some candidates may be behind time on their Kukkiwon grades, the Kukkiwon application should be for the candidate’s next relevant grade. This may be different from the TCGB grade. Please ensure you complete the form with your name exactly as it appears on your last Kukkiwon certificate. Unsuccessful candidates will have their Kukkiwon fee refunded where appropriate. Please ensure all attached forms are completed and returned to the address below together with separate cheques, payable to Chungdokwan GB, for the grading and Kukkiwon fee (please do not send cheques payable to British Taekwondo). If cheques do not clear we will charge a £20 administration fee to cover the bank charges. Alternatively, payment can be made by cash at the seminar or by bank transfer in advance of the application deadline. If paying by bank transfer, please make two transfers: one for the grading and one for the respective Kukkiwon certificate. The applicant’s name should be used as the reference and a copy of the bank transfer receipt should be included with the application forms. Cooperative Bank Sort Code: 08-92-99 Account No.: 65683815 Licence/membership requirements Candidates for the grading are required to have held a continuous and valid British Taekwondo licence with a TCGB club for a minimum period prior to the grading. For candidates applying to 1st Dan the minimum period is 6 months, to 2nd and 3rd Dan it is 1 year and to Master grade (4th Dan and above), the minimum period is 2 years. Applications received from members whose licences have expired, will not be valid on the date of the grading, or include the licence renewal form with the application, will be excluded from the grading. Seminar We will also be holding a Seminar on Sunday 28th May 2017 at the same venue from 11am to 2pm. The cost for the seminar will be £10 per person. It is strongly advised that anyone wishing to take part in the grading attend this seminar. Certification from Chung Do Kwan Korea We encourage our members to also apply for certificates from Chung Do Kwan Korea, although this is not compulsory. This is achieved with a separate application (form attached). From 4th Dan, there is an option to apply for a plaque in addition to the Chung Do Kwan Korea certificate. Kukkiwon applications between gradings TCGB will also process Kukkiwon applications for anyone who is not up to date with their Kukkiwon certification and where the appropriate waiting time has passed, even if they are not taking part in this grading. In this case, please complete the Kukkiwon Certificate Application Form only and send it with the appropriate fee (cheques payable to Chungdokwan GB). Application for grading to Master grades For those wishing to grade to 4th Dan (Master level) and above, please note that it is a requirement to submit a thesis (two hard copies and one electronic) to the grading panel by the closing date for applications (28th May 2017). The topic should be discussed with a member of the grading panel in advance of submission and the declaration page (available on the TCGB website: www.chungdokwan.org.uk) must be included. If you have any queries, please do not hesitate to contact me for more information. Instructors Please provide the complete pack to your students including this notice and the checklist. We recommend that instructors check applications are complete before signing the TCGB Dan Grading Application. If you have any questions, please contact me at [email protected]. The pack is also available online (www.chungdokwan.org.uk). All forms must be returned to me by 28th May 2017 at the latest. We regret that we will not be able to process any forms received after this date. Please print the forms single sided so each form is submitted as a separate document. Kind regards Natalie Mestry TCGB Secretary General [email protected] Please send completed applications to: NATALIE MESTRY, 11 CHARLES KNOTT GARDENS, SOUTHAMPTON SO15 2TF Or, hand in applications before the start of the Dan grading seminar on the 28th May 2017 DEADLINE FOR APPLICATIONS: 28th May 2017 Patron: Grandmaster Vincent Cheong President: Grandmaster Mark Biddlecombe Committee Members: Master Michael King, Master Lindsey Bell, Master Steve Aldis, Master Lynne Firth, David Honey, Master Stephen Butlin, Natalie Mestry, Master Dean Gibbs Taekwondo Chungdokwan Great Britain DAN GRADING APPLICATION Please write clearly in BLOCK CAPITALS. Any illegible or incomplete applications will be refused. Surname First name Nationality Gender (tick) Male Female Date of birth Day Month Year British Taekwondo licence details Membership No. Licence No. Expiry Date Telephone No. Email address Current grade Dan grade applied for Current Kukkiwon Grade applied for Kukkiwon Grade Please read the checklist to ensure that you have included all items required, then send all forms with two cheques made payable to CHUNGDOKWAN GB or the receipts for two bank transfers to the TCGB Secretary General. Applicant’s signature (Parent/Guardian if under 18) ___________________________________ Date ________________ Senior Instructor’s Name _____________________________________________ _______ DAN Senior Instructor’s signature ___________________________________ Date ________________ Club Name ____________________________ Instructor Email ____________________________ Grading fee £ One bank transfer or one cheque payable to CHUNGDOKWAN GB for the grading fee Kukkiwon fee £ One bank transfer or one cheque payable to Chungdokwan Korea Certificate £ CHUNGDOKWAN GB for Kukkiwon certificate (and Chungdokwan Korea Plaque £ certification if applied for) Please circle payment type Total Enclosed £ Bank Transfers Cash Cheques Taekwondo Chungdokwan Great Britain MEDICAL QUESTIONNAIRE NAME DATE OF TELEPHONE BIRTH NUMBER DO YOU OR HAVE YOU EVER SUFFERED: ASTHMA YES/NO ANY HEART DISEASE YES/NO DIABETES YES/NO EPILEPSY YES/NO HIGH BLOOD PRESSURE YES/NO MIGRAINE YES/NO CANCEROUS CONDITIONS YES/NO PSYCHOLOGICAL YES/NO CONDITIONS CIRCULATORY PROBLEMS YES/NO ALLERGIES YES/NO HAVE YOU RECENTLY HAD: BONE FRACTURE YES/NO JOINT DISLOCATION YES/NO SURGERY YES/NO TORN MUSCLES YES/NO SPRAINS OR STRAINS YES/NO DO YOU CURRENTLY SUFFER FROM: BACK OR NECK PAIN YES/NO PAIN IN ANY JOINT YES/NO RHEUMATISM OR YES/NO ARTHRITIS HAVE YOU TAKEN, OR ARE YOU CURRENTLY TAKING: ANY MEDICATION YES/NO STEROIDS YES/NO ANTICOAGULANTS YES/NO DO YOU USE: GLASSES YES/NO CONTACT LENSES YES/NO OTHER INFORMATION/CONDITONS FOR INSTRUSTORS TO BE AWARE OF: IF THE ANSWER TO ANY OF THESE QUESTIONS IS YES, PLEASE PROVIDE BRIEF DETAILS IN THE SPACE PROVIDED The information on this form is true to the best of my knowledge and belief. I appreciate that participating in any form of physical exercise or sport carries inherent risks. Applicant’s signature (Parent/Guardian if under 18) _____________________________________ NB: A FAILURE TO DISCLOSE MEDICAL CONDITIONS WILL, IF A CLAIM IS REQUIRED, RESULT IN THE CLAIM NOT BEING PAID. Please attach two separate passport KUKKIWON CERTIFICATE photos. Please print APPLICATION FORM your name on the back of each photo Complete all details below in CAPITALS. and fix them here with a paperclip APPLICANT’S PERSONAL DETAILS Please complete with your name exactly as it appears on your previous Kukkiwon certificate. Surname Forename(s) First Middle Nationality Date of Birth Day Month Year Gender (tick) Male Female Address Postcode Telephone Number Age Email Your Kukkiwon certificate number (if applicable*) Date on your most recent Please paste a copy of your valid Kukkiwon certificate (if applicable*) British Taekwondo licence slip Grade on your most recent here. Kukkiwon certificate (if applicable*) *Those taking their 1st Dan grading will not have a Kukkiwon The details on this slip are the certificate. details recorded on the British Date of grading Taekwondo database. Please Grade applied for** notify British Taekwondo immediately if there are errors on **Candidates who are 14 years old or younger on the date of the grading should apply for a Poom grade. Candidates who are 15 your slip. years old or older on the date of the grading should apply for a Dan grade. RECOMMENDATION To be completed after the grading by Grandmaster Lindsay Lawrence, head of the TCGB Dan Grading Panel. Candidate GRANDMASTER Grade 7TH British Taekwondo recommended by LINDSAY LAWRENCE DAN Membership Number Signature Date OPTIONAL APPLICATION APPLICATION FOR CHUNG DO KWAN KOREA CERTIFICATE Please write clearly in BLOCK CAPITALS. Any illegible or incomplete applications will be refused. Payment MUST be attached. Nationality ___________________________ Sex _________________ First Name ______________________ Surname ______________________________ Date of birth Day __________ Month ______________ Year __________ Address ___________________________________________________________________ ________________________________________Telephone No.
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