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Instructions:

1. Ensure you have got the CAN from headquarters, if not please contact Jimukyokucho.
2. Column 1. First name/Middle Name/& Last name: remember do not type anything other than alphabets

3. Please fill in the current belt and which belt you are giving to the child. Remember Examiner license holders are supposed to take any KYU Grading, as early as possible to acquire the license.

4. Please ensure the correct CAN number while putting the same on the certificate and this form