Please send this form to the (Fax to +82 2 553 4728) or to () by WT education department E-mail no later than May 30, 2018 Please Attach your The 117th Kyorugi & The 36th Poomsae, IRRC (Croatia) Photo here Name Last Name: (Family) Name: Country of Date of Birth M( ) / F( ) (MM/DD/YEAR) Birth Nationality Gender Occupation I.R. Number IR Number Kukkiwon ( ) Dan & Current Dan Grade Date of issue (MM/DD/YEAR) No. Mobile Number E-mail Valuable For International Shipping Shipping Address (English ONLY) I hereby submit my application to attend the: The 117th International Kyorugi Referee Refresher Course / The 36th International Poomsae Referee Refresher Course / to be conducted by WT Date: Signature:
Please send this form to the WT education department (Fax to +82 2 553 4728) or E-mail to () by no later than May 30, 2018 The 117th Kyorugi & The 36th Poomsae, IRRC (Croatia) Please Attach your Photo here Name Last Name: (Family) Name: Date of Birth (MM/DD/YEAR) Country of Birth M( ) / F( ) Nationality Gender Occupation I.R. Number IR Number Current Dan Grade Kukkiwon ( ) Dan & No. Date of issue (MM/DD/YEAR) Mobile Number E-mail Valuable Shipping Address For International Shipping (English ONLY) I hereby submit my application to attend the: The 117th International Kyorugi Referee Refresher Course / The 36th International Poomsae Referee Refresher Course / to be conducted by WT Date: Signature:
2._Application_form_for_the_117th_Kyorugi_IRRC__the_36th_Poomsae_IRRC.docx