Rokudan Application

Name *
Name
Date of Birth *
Date of Birth
Gender *
Division *
Date of Recommendation *
Date of Recommendation
1000 required. If you train more than one time per day, it still counts as one training day.
Date of Registration of Godan *
Date of Registration of Godan
Date listed in Yudansha book, not the date of recommendation
Please mail yudansha book with record of seminar attendance to the Processing Clerk