2023 KKW USA Nov Registration

2023
kukkiwon course

in Chicago, USA

November 15th - 20th

documentation

PARTICIPANT Information

This address will be used as your shipping address to send out your Master & Poom/Dan Certificate. Make sure to properly type it down.

First Name

Cell Phone Number

Address

Last Name

State

City

Zip Code

Resident Country

Date of Birth (Month-Day-Year)

Uniform Size in Centimeters (cm)

Are you a school owner?

Offline

INTERNATIONAL MASTER COURSE

November 15th - 18th

1st Class - Kukkiwon 8th Dan and 2nd Class Master Certificate, or Kukkiwon 9th Dan and Master Certificate prior 1996. ($500)

2nd Class - Kukkiwon 6th or higher Dan 3rd Class Master Certificate. ($500)

3rd Class - Kukkiwon 4th or higher Dan (at least 20 years old) ($500)

Diploma Course - Kukkiwon 2nd or 3rd Dan (at least 18 years old) You can apply for the license once you become 4th Dan or higher. ($500)

Refresher Course - already certified applicant, non- certification course ($500)

Retest ($150)

None

Offline

POOM/ DAN EXAMINER COURSE

November 19th - 20th

1st Class - License Course; Kukkiwon 8th Dan and 1st or 2nd Class Master Certificate ($450)

2nd Class - License Course; Kukkiwon 6th — 7th Dan with 3rd Class Master Certificate. (at least 21 years old) ($450)

3rd Class License Course; Kukkiwon 4th — 5th Dan (at least 21 years old) with permanent residence or citizenship in their staying country and a 3rd Class Master Certificate. ($450)

Refresher Course, already certified applicant, non- certification course ($450)

Retest ($150)

None

KUKKIWON DAN Information

Kukkiwon Dan Certificate Name

Kukkiwon Dan Number

Kukkiwon Dan Nationality

Issue Date

KMS/TCON Information

KMS/TCON ID - Number

KMS/TCON Name

KMS/TCON Country

Master Certificate

ID Number

Issue Date

POOM/DAN examiner Certificate

ID Number

Issue Date

Registration Documents

Upload a close-up photo of yourself in color.

Upload

Upload a photo of either your driver's license or passport ID.

Upload

Upload a Copy of your current Kukkiwon Dan Certificate.

Upload

Copy of Master Certificate

Upload

(1st or 2nd Class Master Course Candidates)

Copy of Examiner Certificate

Upload

Proof of Passing the Online Theory Master Course

Upload

(1st or 2nd Class Examiner Course Candidates)

COVID-19 SAFETY ACKNOWLEDGEMENT
LIABILITY WAIVER AND RELEASE OF CLAIMS

I agree to the above Covid-19 Safety Acknowledgement -- Liability Waiver and Release of Claims

I agree to the terms and conditions above.

Your Signature.

Your information has been submitted successfully.

An error occurred. Please make sure to fill out the form correctly.

KUKKIWON SEMINAR

2023 kukkiwon course

in Chicago, USA

November 15th - 20th

documentation

PARTICIPANT Information

Offline

INTERNATIONAL MASTER COURSE

November 15th - 18th

Offline

POOM/ DAN EXAMINER COURSE

November 19th - 20th

KUKKIWON DAN Information

KMS/TCON Information

Master Certificate

POOM/DAN examiner Certificate

Registration Documents

COVID-19 SAFETY ACKNOWLEDGEMENT LIABILITY WAIVER AND RELEASE OF CLAIMS

2023
kukkiwon course

COVID-19 SAFETY ACKNOWLEDGEMENT
LIABILITY WAIVER AND RELEASE OF CLAIMS