United States Soo Bahk Do FOR H.Q. USE: SOO Gi SCORE JOK GI SCORE HYUNG SCORE OTHER SCORE T.A.C. APP.________ Moo Duk Kwan Federation Inc.â Low Block / / Front Kick Basic Form #1 3-Step Spar FEE PD.___________ Tuel Oh RECORDED________ High Block / APPLICATION / Round Kick Basic Form #2 1-Step Spar ID & CERT_________ Tuel Oh FOR GUP PROMOTION In/Out Block Side Kick Basic Form #3 Self-Defense Student Portion Testing Date Studio Certification No Out/In Block In / Out Kick Pyong Ahn #1 Free Spar Center Punch/ / Out / In Kick Chil Sung #2 Breaking Gup MemBership No. Expiration Date Tuel Oh High Punch / Name of Studio / Back Kick Pyong Ahn #3 CONTROL SCORE Tuel Oh Jump Front Name Male Female Side Punch Chil Sung #1 Eye Focus Kick Last First Init. Address Side Block Spin Side Kick Pyong Ahn #5 Balance Control Street City State Zip Knife Hand Block Spin In / Out / Passai Breathing Control Date of Birth Telephone Low / Middle Kick High Knife Hand Tension & Jump Side Kick Chil Sung #3 Occupation Education Level Block Relaxation Back Fist / Speed & Power / Hook Kick Date of entrance Date of last promotion Present Rank Gup Hammer Fist Control Soo Do Strike / Jump Round / Timing Control Applicant’s Signature _______________________________________________ Tuel Oh Kick 2 Fist Block Low / Average Score / Spin Hook Kick Parent’s Signature (if under 18) _______________________________________ Middle for Control Jump In / Out Instructor Portion 2 Fist High Block / Kick Spear Hand/Tuel Jump Out / In / Recommended By Rank Dan Dan No. Oh Kick An average score of 9.0 or aBove: 2 level promotion Reverse Round *EXAMINERS NOTES: Ridge Hand POINT SYSTEM: An average score of 7.0 or above: 1 level promotion / Kick / Front / Strike/ Tuel Oh An average score of 7.0 or BeloW: Fail Push Kick Jump Spin *AVERAGE SCORE is determined from taking an overall average of: Spinning Back Fist / Back Kick / In / / 1) Average score from Soo Gi 3) Average score from control / Hammer Fist 2) Average score from Jok Gi 4) Each score from each Hyung Out Kick 5) Each score from 3-step spar, Free Spar, Self Defense, Breaking and Terminology Yuk Jin Kong Jump Spin Kyuk Hook Kick Mail all correspondence to: Technical Advisory Committee Average Score Average Score U.S. Soo Bahk Do Moo Duk Kwan Federation Inc.â for Soo Gi for Jok Gi P.O. Box 154 Springfield, N.J. 07081 Combinations Orange (1-7) I recommend promotion of this student to Gup. Average Score Green (8 – 14) Red (15 – 20) FOR STUDIO USE Signature(s) of Examiner(s) and ID# Class attendance _____ 1. Free Motion Class in general_______ Average Score 2. Retest status: 3. for Combinations 4. ã 2003 United States Soo Bahk Do Moo Duk Kwan Federation Inc. 5. .