International Taekwon-Do Federation I.T.F. 국제태권도련맹
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1 International Taekwon-Do Federation I.T.F. 국제태권도련맹 Draugasse 3, 1210 Vienna, AUSTRIA Tel. (+43-1) Fax (+43-1) Website: PERSONAL DETAILS FOR MASTER PROMOTION Forename: Surname: Mr / Ms Birth place (city, country): photo Date of birth: Nationality: Dan applied for: Current Dan No. Date of last grading: Applicant s Plaque No. Last Plaque renewal date: Address: Website: Education (School/College/University place, period): Occupation 1.Current: (Period /Country) 2. Previous: 3. Previous: Position in NGB: 1.Current: 2. Previous: Qualification 1. (Job oriented, Where & when) 2. Hobbies: 3. 1
2 ACTIVITY REPORT FOR MASTER PROMOTION 1. Social services rendered (only Award with official public authority or organization recognition): (only to send the copy of the award or diploma) 2. Contribution to ITF (International, Continental level) 1) ITF Award (ITF Outstanding Instructor Medal, ITF Order, ITF Commendation Letter) Award name Award place (Town, Country) Award Date (mm/yyyy) 2) Others(if any) 3. Training History (From enrollment to present) Instructor name Dojang name Town From-to (yyyy to yyyy) 4. ITF Dan promotion details 1 st Dan: 2 nd Dan: 3 rd Dan: 4 th Dan: 5 th Dan: 6 th Dan: 7 th Dan: 8 th Dan: 9 th Dan: 2
3 Dan Cert No. Year Town Instructor Examiner 5. I T F qualifications Umpire A: Int l Instructor: Cert No. Year Town Examiner 6. ITF Recognition Plaque registrations and its renewal 1) ITF Recognition Plaque registrations Dojang Name 1 st Reg. year Place (town) Date (mm,yyyy) Renewed latest Dojang Name 1 st Reg. year Place (town) Date (mm,yyyy) Renewed latest 2) Annual renewals of ITF Recognition Plaque(in the latest 6 years) 7. Participation at ITF endorsed Int l Instructor / Umpire Course/ Int l Technical Seminar (in the last 6 years) 3
4 Course /Seminar No. Conductor Place (town,country) From-to (yyyy to yyyy) 8. Position Held (ITF HQ, ITF Continental, ITF National Organization) Position Held Organization Name From-to (yyyy to yyyy) 9. ITF Championships (World, Continental level/ Medal/Cup) Tournament Title (participated as) Country Achievement Year 10. ITF Participation (ITF Congress, ITF Continental Congress) (only in recent 6 years) Event Title (attended as) Venue (Town, Country) Year 4
5 11. Details Applicant s Students a) Student Achievements in ITF World / Continental Championship Tournament Title Country Student Name Category/Div. Placing Year b) Number of currently active students Gup holder 1 st to 3 rd Dan 4 th Dan 5 th Dan 6 th Dan Umpire B Umpire A Instructor 4 th -6 th Dan holders name (with Dan Cert Number): Instructors names (with Cert Number): Umpire (A Class) names (with Umpire Cert Number): c) Number of applicant s students Dan Applications in the last 6 years 1 st Dan 2 nd Dan 3 rd Dan 4 th Dan 5 th Dan 6 th Dan 7 th Dan Int l umpire Instructor (to send the supporting documents of the Dan applicants list with name and Dan numbers) 12. Writings/Publications on Taekwon-Do and other subject areas Type Title Page Year Printing house (to send the copy of cover of the Writings/ Publication, if any) 5
6 13. Visit to Gen.Choi tomb in the Motherland of Taekwon-Do Organizer Sort of seminar Place (town, country) from - to (yyyy to yyyy) 14. ITF Taekwon-Do teachings in foreign country NBG representative name Place (town, country) from - to (yyyy to yyyy) 15. Others if any 16. Photos (in individual photos by attachment) 10 or more ITF activity-related photos that applicant deems very valuable. ITF activity-related photos that applicant deems very valuable (more than 5 photos). Photos in World and continental Taekwon-Do Championships taken in the recent 6 years(more than 3 photos). Photos in Int l course & seminar participation in the recent 6 years(more than 3 photos). Photos of the applicant s Dojang with plaque picture. (more than 1 photos). Photos taken in Dobok teaching ITF students in Dojang(more than 3 photos). Photos in the important ITF activity-related history (more than 5 photos). Photos in social service(if any). Photos of Writings/Publications on Taekwon-Do and other subject areas (if any). Note: Each photo in jpg format should be captioned with date, place and condensed contents under each photo To be sent as individual photo, not in PDF or Word format and not in application. Photos submitted may be posted in ITF Website when considered necessary. 17. Brief personal message from applicant to ITF members if any: 6
7 18. Personal comments or opinions toward the ITF if any: 19. NGB recommendation for applicant promotion (compulsory): =========================================================================== I have submitted these two forms by 1. This completed Master Promotion Application Form in Word format, without signatures and NGB stamp. 2. A scanned copy of this Master Promotion Application Form with all signatures and NGB stamp. Date Place (Town, Country) Applicant s signature =========================================================================== NGB Name NGB Secretary General name Signature NGB representative name Signature Date: Place (Town, Country): NGB stamp =========================================================================== (ITF use only) ITF HQ and ITF Promotion & Commendation Committee Remarks Approved: Disapproved: Remarks: 7
8 ITF Promotion & Commendation Com. Chairman Signature ITF President Signature Date: Place (Town, Country): ITF Stamp Note: Applicant may expand or minimize every area for writing if required. 8
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International Taekwon-Do Federation I.T.F. 국제태권도련맹 Draugasse 3, 1210 Vienna, AUSTRIA Tel. (+43-1) 292 84 67 Fax (+43-1) 292 55 09 E-mail: director-af@itfhq.org secretary-gen@itfhq.org Website: www.itftkd.org
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