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[{"$nulls":7},"Date:                                "]
["2019 JKA Asia Oceania / Seminar Entry Form (19 yrs old & above)"]
[]
["I. Personal Information"]
[]
["1.First Name"]
[]
["2.Middle Name"]
[]
["3.Family Name"]
[]
["4.Country "]
[]
["5.Address"]
[]
["6.E-mail"]
[]
["7.Date of birth/Age",{"$nulls":6},"Age"]
[]
["8.Karate Experience",null,null,null,"Years",null,null,"Months"]
[]
[]
["II. Seminar Entry Form"]
[]
["1.Seminar",null,"Please place small circle 〇 "]
["@￥3,000\n",null,"1st","2nd"]
[]
[{"$nulls":7}," A. Total Seminar fee","￥"]
[]
[]
["III. Payment Information"]
[]
["1.Payment day"]
[]
["2.Payment method",null,"Please choose a payment method with small circle 〇 ."]
[null,null,"Bank",null,"Cash"]
[]
[null,null,"*Cash is available only at the reception of venue in Thailand."]
[]
["3.Payment amount",{"$nulls":7},"Yen/USD"]

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[{"$nulls":8},"Date:                                "]
["2019 JKA Asia Oceania / Seminar & Exam Entry Form (19 yrs old & above)"]
[]
[null,"I. Personal Information"]
[]
[null,"1.First Name"]
[]
[null,"2.Middle Name"]
[]
[null,"3.Family Name"]
[]
[null,"4.Country "]
[]
[null,"5.Address"]
[]
[null,"6.E-mail"]
[]
[null,"7.Date of birth/Age",{"$nulls":6},"Age"]
[]
[null,"8.Karate Experience",null,null,null,"Years",null,null,"Months"]
[]
[]
[null,"II. Payment Information"]
[]
[null,"1.Payment day"]
[]
[null,"2.Payment method",null,"Please choose a payment method with small circle 〇 ."]
[null,null,null,"Bank",null,"Cash"]
[]
[null,null,null,"*Cash is available only at the reception of venue in Thailand."]
[]
[null,"3.Payment amount",null,"A+B+C",{"$nulls":5},"Yen/USD"]
[]
[null,null,null,"No entry"]
[null,null,null,"入金確認",null,"入力",null,"備考"]
[]
[null,"III. Seminar Entry Form"]
[null,"1.Seminar",null,"Please place small circle 〇 "]
[null,"@￥3,000\n",null,"1st","2nd"]
[]
[{"$nulls":8}," A. Total Seminar fee","￥"]
[]
[]
[]
[null,"IV. Exam Entry Form"]
[null,"1.Dan Exam"]
[null,null,null,"Please fill in your present dan data"]
[null,"(1) Present Dan",null,"Dan",null,"Conferral Date (yyyy/mm/dd)",null,null,"Dan Registration No."]
[null,null,null,"                   Dan",null,"/         /"]
[null,null,null,"Please select which dan exam you will entry with small circle 〇 "]
[null,"(2) Dan Exam Entry",null,"1 Dan","2 Dan","3 Dan","4 Dan","5 Dan","6 Dan","7 Dan"]
[]
[null,null,null,15500,21000,26000,41500,51500,62000,103000]
[null,null,null,21000,26500,31500,47000,57000,67500,108500]
[null,null,null,"Including exam fee ￥5,500"]
[{"$nulls":8}," B. Total Dan Exam fee","￥"]
[]
[null,"2.Qualification Exam"]
[]
[null,"(1) Present License",null,"Please select which license/class exam you will entry with small circle 〇 "]
[null,"   No. 99____________\n*Please write number after your name on the License card ",null,"Qualification",null,"Class","Qualification No.",null,"expiration date \n(yyyy/mm/dd)"]
[null,null,null,"Instructor",{"$nulls":4},"/         /        /"]
[null,null,null,"Examiner"]
[null,null,null,"Judge"]
[null,"(2) Exam Entry",null,"Please select which class exam you will entry with small circle 〇 "]
[]
[null,"     Instructor",null,"A","B","C","D","Total fee"]
[]
[null,null,null,21000,10500,5500,5500]
[null,null,null,26500,16000,11000,11000,"Including exam fee ￥5,500"]
[]
[null,"     Examiner",null,"A","B","C","D","Total fee"]
[]
[null,null,null,51500,31000,21000,10500]
[null,null,null,57000,36500,26500,16000,"Including exam fee ￥5,500"]
[]
[null,"     Judge",null,"A","B","C","D","Total fee"]
[]
[null,null,null,31000,10500,5500,5500]
[null,null,null,36500,16000,11000,11000,"Including exam fee ￥5,500"]
[{"$nulls":8}," C. Total Qualification Exam fee","￥"]
[null,"* Qualification examinee should fill out Dan registration status,too."]

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[{"$nulls":7},"Date:                                "]
["2019 JKA Asia Oceania / Seminar Entry Form  (under 19 yrs old)"]
[]
["I. Personal Information"]
[]
["1.First Name"]
[]
["2.Middle Name"]
[]
["3.Family Name"]
[]
["4.Country "]
[]
["5.Address"]
[]
["6.E-mail"]
[]
["7.Date of birth/Age",{"$nulls":6},"Age"]
[]
["8.Karate Experience",null,null,null,"Years",null,null,"Months"]
[]
[]
["II. Seminar Entry Form"]
[]
["1.Seminar",null,"Please place small circle 〇 "]
["@￥1,500\n",null,"1st","2nd"]
[]
[{"$nulls":7}," A. Total Seminar fee","￥"]
[]
[]
["III. Payment Information"]
[]
["1.Payment day"]
[]
["2.Payment method",null,"Please choose a payment method with small circle 〇 ."]
[null,null,"Bank",null,"Cash"]
[]
[null,null,"*Cash is available only at the reception of venue in Thailand."]
[]
["3.Payment amount",{"$nulls":7},"Yen/USD"]

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[{"$nulls":8},"Date:                                "]
["2019 JKA Asia Oceania / Seminar & Exam Entry Form (under 19 yrs old)"]
[]
[null,"I. Personal Information"]
[]
[null,"1.First Name"]
[]
[null,"2.Middle Name"]
[]
[null,"3.Family Name"]
[]
[null,"4.Country "]
[]
[null,"5.Address"]
[]
[null,"6.E-mail"]
[]
[null,"7.Date of birth/Age",{"$nulls":6},"Age"]
[]
[null,"8.Karate Experience",null,null,null,"Years",null,null,"Months"]
[]
[]
[null,"II. Payment Information"]
[]
[null,"1.Payment day"]
[]
[null,"2.Payment method",null,"Please choose a payment method with small circle 〇 ."]
[null,null,null,"Bank",null,"Cash"]
[]
[null,null,null,"*Cash is available only at the reception of venue in Thailand."]
[]
[null,"3.Payment amount",null,"A+B",{"$nulls":5},"Yen/USD"]
[]
[null,null,null,"No entry"]
[null,null,null,"入金確認",null,"入力",null,"備考"]
[]
[null,"III. Seminar Entry Form"]
[]
[null,"1.Seminar",null,"Please place small circle 〇 "]
[null,"@￥1,500\n",null,"1st","2nd"]
[]
[{"$nulls":8}," A. Total Seminar fee","￥"]
[]
[]
[]
[null,"IV. Exam Entry Form"]
[null,"1.Dan Exam"]
[null,null,null,"Please fill in your present dan data"]
[null,"(1) Present Dan",null,"Dan",null,"Conferral Date (yyyy/mm/dd)",null,null,"Dan Registration No."]
[null,null,null,"                   Dan",null,"/         /"]
[null,null,null,"Please select which dan exam you will entry with small circle 〇 "]
[null,"(2) Dan Exam Entry",null,"1 Dan","2 Dan","3 Dan"]
[]
[null,null,null,15500,21000,26000]
[null,null,null,21000,26500,31500]
[null,null,null,"Including exam fee ￥5,500"]
[{"$nulls":8}," B. Total Dan Exam fee","￥"]