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[{"$nulls":25},"公　　　益",null,"日本空手協会"]
[{"$nulls":25},"社団法人"]
[]
[{"$nulls":8},"段位審査用紙"]
[{"$nulls":8},"ＥＸＡＭＩＮＥＲ ´ Ｓ　ＲＥＣＯＲＤ "]
[null,"（太枠内のみ記入のこと）",{"$nulls":21},"提出・Date",{"$nulls":4},"年",null,"月",null,"日"]
[null,"(ふりがな)",{"$nulls":10},"性　　別",null,null,null,"  男",null,null,"女",null,null,null,"　　　審査日　　　　　　Date of  Examination"]
[null,"氏　　　名　　　　Name　",{"$nulls":10},"Sex",null,null,null,"Male",null,null,null,"Female",{"$nulls":7},"年",null,"月",null,"日"]
[{"$nulls":12},"年　齢",null,null,null,"満",{"$nulls":4},"才",null,"　　　誕生日　　　Date of Birth"]
[{"$nulls":12},"Age",{"$nulls":15},"年",null,"月",null,"日"]
[null,"支部・団体名",{"$nulls":10},"会　　員　　番　　号",{"$nulls":10},"身　長",null,null,null,"㎝","体　重",null," ",null,"㎏"]
[null,"Karate　　Organization",{"$nulls":12},"-",null,null,null,"-",{"$nulls":4},"Height",{"$nulls":4},"Weight"]
[null,"本　　　　籍　　　　Nationality"]
[null,"現　住　所　　　　　　　　　　　Present Address",{"$nulls":24},"Tel　(",{"$nulls":5},")"]
[null,"勤　 務　 先　　　　　　　　　　又は学校名",null,null,null,"名　　　　　　　称　　　　　　　　　Name　of  Employer"]
[null,"Place of　　　Employment",null,null,null,"所　　　在　　　地　　　　　　　　　　　Address of  Employer",{"$nulls":20},"Tel　(",{"$nulls":5},")"]
[null,"最 終 学 歴　　　　　　　　　　Last Schoolor"]
[null,"道歴保証人　　　　　　　　　　Reference",null,null,null,"氏　　名　　　　　　　Name",{"$nulls":11},"本人との関係　　Relationship"]
[{"$nulls":5},"住　　所　　　　　　　Address",{"$nulls":20},"Tel　(",{"$nulls":5},")"]
[null,null,"採　　　点　　　表"]
[]
[null,null,"受　験　段　　　　　　　　　　　Rank　Being　　　　　　　　　　Tested for",{"$nulls":7},"段",null,null,null,"基　本",null,null,null,"形",null,null,null,"組　手",null,null,"応用技　　研　究　　　その他",null,"総　合",null,null,"決　定"]
[null,null,"現段 (級) 位　　　　　　　　　　Dan Kyu   Registration",{"$nulls":4},"級　　　Kyu",null,null,"段　　　　Dan",null,null,"A",{"$nulls":16},"審査長印"]
[null,null,"取得　　　　　　　　　　　　Date of Conferral",null,null,null,"年",null,"月",null,"日"]
[null,null,"段 級　　詔書№　　　　　　　　　　Dan Kyu   Registration",{"$nulls":10},"Ｂ",{"$nulls":16},"合　 格"]
[null,null,"修　業　年　月　　　　　　　　　Number of  Months and",{"$nulls":5},"年",null,"ヶ月",{"$nulls":19},"不合格"]
[null,null,"Years in Karate Training",null,null,null,"Years Months"]
[null,null," 現取得資格　　Present Qualifcations　　",{"$nulls":10},"備考",{"$nulls":16},"再審査"]
[null,null," 指導　Instructor",{"$nulls":6},"級 Kyu ",{"$nulls":20},"保　 留"]
[null,null," 審査 Examiner",{"$nulls":6},"級 Kyu ",null,null,null,"受験料",{"$nulls":11},"登録料"]
[null,null," 審判 Judge",{"$nulls":6},"級 Kyu "]
[]
[{"$nulls":9},"✂",null,null,null,"✂",{"$nulls":5},"✂"]
[]
[{"$nulls":4},"受　　験　　票",{"$nulls":15},"領収印","受　　験　　料",{"$nulls":5},"登　　録　　料"]
[null,null,"受　験　段  　　　　　　 Rank Being  　　  Tested for"]
[{"$nulls":4},"AUTHORIZATION TO TAKE EXAMINATION"]
[{"$nulls":4},"氏　　　名  Name",{"$nulls":8},"　　　団　　　体　　　　　Karate　　Organization",{"$nulls":5},"№",{"$nulls":4},"　　　審　査　日　　　　Date of　　Examination",null,null,null,"年",null,"月",null,"日"]
[null,null,null,"段　Dan"]
[]
[null,null,"①　段位詔書を受け取るときは必ずこの票を提出して下さい。",{"$nulls":13}," Sign this slip and hand it in wihtin three months to receive"]
[null,null,"②　不合格のときはこの票と引き換えに段位登録料を払い戻しします。",{"$nulls":13},"゛dan ゛certificate or. in case of failure, to receive refund of"]
[null,null,"③　①及び②のときは３ヶ月以内に事務所に提出して下さい。",{"$nulls":13},"registration fee."]
[{"$nulls":25},"公　　　益",null,"日本空手協会"]
[{"$nulls":25},"社団法人"]

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[null,null,"受　　　験　　　要　　　領"]
[]
[null,"(1)","受験希望者は、段位審査用紙及び受験票に必要事項記入の上協会規定の審査料及び段位登録料を添えて会"]
[null,null,"員証持参の上審査日の前日迄に事務所に提出し引替に受験票を受取る事"]
[null,"(2)","会費（個人及び団体会員共）未納者は受験資格がないので必ず審査の月までの会費を納入の事"]
[null,"(3)","審査当日は指定された時間の30分前に会場に入り係員の指示に従う事"]
[null,"(4)","受験料は返済しない"]
[null,"(5)","不合格者には段位登録料を払い戻す"]
[null,"(6)","段位証書の交付又は不合格による段位登録料の払い戻を受けるときは受験票の裏面に記名押印の上3ヶ月"]
[null,null,"以内に提出の事"]
[]
[]
[null,null,null,"ＤＥＴＡＩＬＳ　ＲＥＧＡＲＤＩＮＧ　ＥＸＡＭＩＮＡＴＩＯＮ"]
[]
[null,"(1)","Ｆill in all information asked　for under EXAMINER'S　RECORD，　and　AUTHORIZATION　TO　TAKE"]
[null,null,"EXAMINATION and submit with examination fee and registration fee　not　later than the day before the"]
[null,null,"scheduled examination．Outside of japan， both examination fee and registration fee shoud be submitted "]
[null,null,"in accordance with the stipulation of the club or the dojo you belong to, affiliated with JKA．"]
[null,null,"１．Examination fee"]
[null,null,"２．Registration fee"]
[null,"(2)","Those who have not paid their ｍｅｍｂｅｒｓｈｉｐ fee for the month during which the examination is scheduled"]
[null,null,"will not be allowed to take the examination．"]
[null,"(3)","You should appear at the place of examination at least 30minutes before the time scheduled for the "]
[null,null,"examination and await the instructions from the person in charge．"]
[null,"(4)","The examination fee will not be returned in any case．"]
[null,"(5)","The registration fee will be returned to those who fail the examination．"]
[null,"(6)","When receiving “dan” certificate or refund or registration fee，sign on the reverse side，and hand over  "]
[null,null,"the attached “Authorization to Take Examination” within three months of taking the examination．"]

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