goju ryu karate do seiwakai seminar slovakia 2019 · date of starting karate day month year latest...
TRANSCRIPT
GOJU RYU KARATE DO
SEIWAKAI SEMINAR
SLOVAKIA 2019
technical vicepresident JKF Gojukai Europe
president Gojuryu Karatedo Seiwakai Slovakia
president JKF Gojukai Slovakia
Rastislav Mráz
Dear friends,
I have the honor to invite you to a seminar to my
beautiful country in the heart of Europe.
I believe that we will spend unforgettable moments
with master Seiichi Fujiwara [ 8th Dan Hanshi ]
and we will move our knowledge into true, pure,
real Goju ryu karate a great step further.
Enjoy this opportunity and I hope you will give your
students the chance to take part in the seminar
and support our effort.
Instructors:
Vassie Naidoo 8th Dan
Mráz Rastislav 7th Dan
Abel Figueiredo 7th Dan
Coleman Paul 7th Dan
Gurmit Singh 7th Dan
Gila Pál 7th Dan
PROGRAM:
PRICE: 70 €
CONTACT:
ADDRESS:
FRIDAY
SATURDAY
SUNDAY
RADO KURINEC
+421 910 83 33 41
TRAINING
TRAINING 9:30
9:30
15:30
18:30 JKF Black Belt Test(to the 5th Dan)
15:30
18:30 Seiwakai Black Belt Test
17:00
12:00
12:00
18:00
18:00
20:00
TRAINING
ACCOM OD :M ATION
AZULwww.azul.sk
www.penzionkalinka.sk
www.salas-partizanske.sk
www.termalymalebielice.sk
www.penzion-hoffer.sk
HOTEL DAVIDwww.hoteldavid.sk
CREATIV s.r.o.www.creativsro.sk/ubytovanie/
PENZIÓN VEGASwww.fb.com/penzionvegas
TAXI SERVICE:
TAXIM, +421 908 632 534
PartizánskePartizánske
BOJNICE
GazeboGazeboCastleCastle
SEIWAKAI
APPLICATION FORM FOR TESTING
Held on: ______ - ______ - ______
DAY MO YEAR
Held at: _____________________
PLEASE PRINT CLEARLY AND USE BLOCK LETTERS PRESENT GRADE
COUNTRY NAME OF DOJO ATTEMPTED GRADE
SEIWAKAI MEMBERSHIP NO.
PHOTO
(Passport Size)
FIRST NAME LAST NAME
DATE OF BIRTH
DAY MONTH YEAR
AGE
ADDRESS
TELEPHONE
FAX
DATE OF STARTING KARATE
DAY MONTH YEAR
LATEST SEIWAKAI DAN CERTIFICATE NO. DATE OF CERTIFICATE
DAY MONTH YEAR
THE ABOVE INFORMATION IS CERTIFIED BY
NAME
_____________________________________________
(HEAD OF YOUR GROUP)
SIGNATURE
_____________________________________________
(HEAD OF YOUR GROUP)
GOJU-RYU KARATE-DO SEIWAKAI INTERNATIONAL
APPLICATION FOR SEIWAKAI MEMBERSHIP
1 completed form per applicant (submit 2 Photos and Membership fee)
Use Block Capital letters
Date of registration:
______/______/______ _ (dd/mm/yyyy)
Introduced by: (instructor)
Name :(名前):
Address:(住所):
Date of Birth: (day/month/year)
(生年月日) : ______/______/____________
Country:
Email: Phone:
Occupation: Name of instructor (dojo):
Goju Ryu Karate-Do Seiwakai Member of
All Japan Karate-Do Federation
APPLICATION FORM FOR TESTING Form 5
（昇段級審査受審願）Held on ＿＿＿・＿＿＿＿・＿＿＿＿
To JKF Gojukai president Mr.Ujita Eizo Day Month Year
JKF 剛柔会 会⻑ 宇治田栄蔵殿 Held at___________________________
PRESENT GRADE
（現段級）
NAME OF BRANCH
（支部名）
NAME OF KAI or KAN
(道場名)
ATTEMPTED GRADE
受審段位
MEMBERSHIP NO.
PHOTO
(Passport size)
（会員番号）
フリカナ CHINESE CHARACTER
( If applicable )
NAME
（名前）
DATE OF BIRTH（生年月
日）
/ /
__________ years old
（才）
Address(住所)
Tel&Fax(電話番号・ファクス)
DATE OF STARTING KARATE （入門年月
日）
/ /
LATEST DAN CERTIFICATE NO.
（最終段位）____________ ___________________
DATE OF ISSUE
（取得年月日） / /
CERTIFIED THE ABOVE BY(上記保証人)
HEAD OF YOUR KAI OR KAN IN JAPAN SIGNATURE_____________________ 印
FOR OFFICIAL USE
RESULT DAN CERTIFICATE NO.
(決定段位) （段） （免状番号）
CERTIFIED THE ABOVE DATE: / /
上記の通り認定した。
BY CHIEF EXAMINER CHIEF OF TESTING COMMITTEE
(審査委員⻑) （段位委員会委員⻑）
NAME & SIGNATURE
(名前・署名)
NAME（名前）＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿（印） SIGNATURE(署名)＿＿＿＿＿＿＿＿＿＿＿
Form 1
APPLICATION FORM FOR JKF GOJUKAI MEMBERSHIP REGISTRATION
(剛柔会会員登録申込書)
Date of proposal_______.______._______
TO JKF GOJUKAI PRESIDENT MR.UJITA EIZO (申込み日)
JKF 剛柔会 会⻑ 宇治田栄蔵殿
I would like to apply for JKF Gojukai membership and will abide by JKF Gojukai
rules& regulations when application is approved.（会員登録後は会の規則を遵守します。）
(To use block letter)
Name :(名前)
Address:(住所) ]¥
Ｄate of Birth: (year/month/day)
(生年月日) / /
Phone & Fax:
(電話・ファクス)
Name of branch
(支部名) UK
Year of starting Karatedo
(入門年)
Name of Dojo
(道場名)
Name of your instructor
(先生の名前)
Name of your Kai/Kan belong to:
(所属する会の名前) Goju Ryu Karate Do
Seiwakai
Name of head of your Kai/Kan in Japan
(会⻑・館⻑名) Seiichi Fujiwara
Sign by Applicant
(申請者署名)_______________________________________________________
To be filled out in Japan
The above applicant to be recommended as a member of JKF Gojukai.
Name of Kai or Kan
（会名・館名）_______________________________________
Sign by head of Kai or Kan in Japan
会⻑名・館⻑名__________________________________________(印)
Membership No:
(会員登録番号)＿＿＿＿＿＿＿＿＿＿＿
Date of registration:
（登録日）＿＿＿＿＿＿＿＿＿＿＿＿＿
Seiwakai Seminar Slovakia 2019
Instructor’s Name:______________________________________ Country: ______________________________________
Instructors/Chief Instructors - Please complete this form and send to Radoslav Kurinec ([email protected]) before the seminar:
Seiwakai JKF Gojukai
Full Name Age/
DOB
Grade
Attempt
Grade
Yen
Certificate
Yen
Member
Yen
Grade
Attempt
Grade
Yen
Certificate
Yen
Member
Yen
Photos Party Day
1
Day
2
Day
3
Seminar
Fee
Example 33 1st DAN ¥¥¥ ¥¥¥ ¥2000 1st DAN ¥¥¥ ¥¥¥ ¥5000 6 Yes Yes Yes Yes 70 €
DO NOT FORGET TO INCLUDE PHOTOS FOR TESTS AND MEMBERSHIPS IF NEEDED
PARTY PRICE is 20 € (ALL YOU CAN EAT AND ALL YOU CAN DRINK! ☺)
SEMINAR PRICE 30 € per day or 70 € for 3 days
Total: €________________________________________ EUR Total: ¥ ________________________________________ YEN