Exam Registration First Name *Last NameEmail Address *Date of Birth *Gender *MaleFemaleStreet AddressCityPost CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePhoneCurrent Belt (Rank) *Please select an option10th Kup (White Belt/New Student)9th Kup (White Belt with Yellow Strip)8th Kup (Yellow Belt)7th Kup (Yellow Belt with Green Strip)6th Kup (Green Belt)5th Kup (Green Belt with Blue Strip)4th Kup (Blue Belt)3rd Kup (Blue Belt with Red Strip)2nd Kup (Red Belt)1st Kup (Red Belt with Black Strip)Black Belt 1st Dan/PoomBlack Belt 2nd Dan/PoomApplying Belt (Rank) *Please select an option9th Kup (White Belt with Yellow Strip)8th Kup (Yellow Belt)7th Kup (Yellow Belt with Green Strip)6th Kup (Green Belt)5th Kup (Green Belt with Blue Strip)4th Kup (Blue Belt)3rd Kup (Blue Belt with Red Strip)2nd Kup (Red Belt)1st Kup (Red Belt with Black Strip)Black Belt 1st Dan/PoomBlack Belt 2nd Dan/PoomBlack Belt 3rd Dan/PoomExam Fee£Exam requirements *I have a valid British Taekwondo membership to participate in the exam (check with your instructor).I completed online exam application forms and fees before the given deadline. Applications will NOT be accepted after the deadline.9th Kup and higher belts MUST have their protective equipment on the exam day.I have attended regular classes to learn the complete syllabus for your grade.I have an approved uniform (Dobok). T-shirts are NOT allowed to be worn underneath uniforms (girls can ONLY wear a white vest underneath), and NO jewellery is allowed to be worn.Declaration *Yes, I agree with the privacy policy and terms and conditions. I (18+ years old or a parent or guardian under 18) submit this application to the Maiwand Taekwondo (MTKD) promotion exam panel. I confirm that the above information is correct, and I agree that this information should be used for my certification. I understand that if I fail to meet the MTKD exam requirements (see above), my application can be declined or withdrawn. I know the nature and potential risks of performing Taekwondo techniques during the exam. I will not hold MTKD or its staff members responsible for any injury I may sustain. Please note that grading fees are non-refundableSignature *Start signing your signature hereYour browser does not support e-Signature field.SubmitPlease do not fill in this field.
