Black Belt Form

Black / Poom Belt Application Form
段 / 品證申請表

Please fill out the form below and submit it to us to process your certificate application.
請填寫下面的表格，並提交給我們以便處理您的證書申請。

註：有 * 欄位請務必填寫正確資料。
Note: Fields with * mark are required to be field.

* I apply (申請) for (Select as Appropriate):

Taekwondo / 跆拳道

Hapkido / 合氣道

* Date of Application:

* Membership number:

* Name ( in CAPITAL LETTERS):

中文名 (If you have Chinese Name):

* Gender:

Male

Female

* Date of Birth:

* HKID Card no.:

* Mobile Phone no.:

* E-mail address:

* Confirm E-mail address:

* Occupation:

* Nationality:

* Address:

* Current Grade:

* Date of Issued:

* Applying Grade: Applying (Hapkido Only) for HHF KHF Both HHF & KHF

* I am currently training at:

I want to purchase a black belt uniform, my height is:

I have my own uniform.

Any Messages?

* Please upload relevant files below, such as JPEG, PNG, JPG (500 pixels each), or PDF format only. You can upload a maximum of 5 files, and each file cannot exceed 3MB.
* 請在下面上傳相關文件，例如只能是JPEG、PNG、JPG（500像素）或 PDF 格式。您最多可以上傳5個文件，每個文件的大小不能超過3MB。

Select Files

or drop files here

Notice / 注意:

1) The applicant's name should match the name on the applicant's HKID card or passport.
申請人的姓名必須與申請人的香港身份證或護照一致。

2) To apply for 1st Dan or Poom certificate, you must submit a copy of your HKID card along with this application form.
申請一段或品證書，必須附上香港身份證副本一份，並連同申請表一併遞交。

3) To apply for 2nd Dan (Poom) or higher certificate, submit a copy of your most recent Dan or Poom certificate(Card Type) along with this application form.
如申請二段(品)或以上證書，提交最近黑或品帶證書(卡)的副本一張。

4) For Taekwondo certificate applicants, submit 3 passport-sized photos.
跆拳道證書申請者，提交三張護照大小的照片。

5) For Hapkido certificate applicants, submit one passport-sized photo.
合氣道證書申請者, 提交一張護照大小的照片。

For Non-Chinese Hong Kong
(如非中國香港人士)

1) The applicant's name should match the name on the applicant's HKID card or passport..
申請人的姓名必須與申請人的香港身份證或護照一致。

2) To apply for 1st Dan or Poom certificate, you must submit a copy of your HKID card and a copy of your passport along with this application form.
If you do not yet have your HKID card, please submit a copy of your school ID or a letter from your school verifying your identity.
要申請一段或品證書，您必須連同此申請表提交一份您的香港身份證副本和護照副本。如果您尚未擁有香港身份證，請提交一份您的學生證副本或一封由學校發出的證明您身份的信件。

3) To apply for a 2nd Dan(Poom) or higher certificate, you must submit a copy of your most recent Dan or Poom certificate (Card Type), a copy of your HKID card, and a copy of your passport along with this application form. If you do not yet have your HKID card, please submit a copy of your school ID or a letter from your school verifying your identity.
如申請二段(品) 或以上證書, 您必須連同此申請表提交一份您的香港身份證副本和護照副本。如果您尚未擁有香港身份證，請提交一份您的學生證副本或一封由學校發出的證明您身份的信件。

4) For Taekwondo certificate applicants, submit 3 passport-sized photos.
跆拳道證書申請者，提交三張護照大小的照片。

5) For Hapkido certificate applicants, submit one passport-sized photo.
合氣道證書申請者, 提交一張護照大小的照片。

Black / Poom Belt Application Form段 / 品 證 申 請 表

Black / Poom Belt Application Form
段 / 品證申請表