{"id":492,"date":"2015-01-10T02:53:39","date_gmt":"2015-01-09T17:53:39","guid":{"rendered":"http:\/\/www.kummooyeh.org\/?page_id=492"},"modified":"2026-10-31T09:39:10","modified_gmt":"2026-10-31T00:39:10","slug":"black-belt-examination-form","status":"publish","type":"page","link":"https:\/\/hapkimooyeh.org\/?page_id=492","title":{"rendered":"Black Belt Examination Application Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2465-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2465\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F492#wpcf7-f2465-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2465\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2465-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Scheduled Examination Date <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"test-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"test-date\" \/><\/span> <\/label><br \/>\n<label> Applying Rank ( Dan level) <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"applying-rank\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"applying-rank\"><option value=\"1st Dan\">1st Dan<\/option><option value=\"2nd Dan\">2nd Dan<\/option><option value=\"3rd Dan\">3rd Dan<\/option><option value=\"4th Dan\">4th Dan<\/option><option value=\"5th Dan\">5th Dan<\/option><option value=\"6th Dan\">6th Dan<\/option><option value=\"7th Dan\">7th Dan<\/option><option value=\"8th Dan\">8th Dan<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Dojang \/ Club name <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Dojang-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Dojang \/ club name\" value=\"\" type=\"text\" name=\"Dojang-name\" \/><\/span> <\/label><br \/>\n<label> Full Name <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"applicant-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First and Last Name\" value=\"\" type=\"text\" name=\"applicant-name\" \/><\/span> <\/label><br \/>\n<label> Nationality <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nationality\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"nationality\" value=\"\" type=\"text\" name=\"nationality\" \/><\/span> <\/label><br \/>\n<label> Date of birth <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\" \/><\/span> <\/label><br \/>\n<label> Email Address <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"applicant-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@email.com\" value=\"\" type=\"email\" name=\"applicant-email\" \/><\/span> <\/label><br \/>\n<label> uniform size<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"uniform-size\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"uniform-size\"><option value=\"(select size)\">(select size)<\/option><option value=\"150\">150<\/option><option value=\"160\">160<\/option><option value=\"170\">170<\/option><option value=\"180\">180<\/option><option value=\"190\">190<\/option><option value=\"200\">200<\/option><\/select><\/span> <\/label><br \/>\n<label> belt size<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"belt-size\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"belt-size\"><option value=\"(select size)\">(select size)<\/option><option value=\"260cm\">260cm<\/option><option value=\"280cm\">280cm<\/option><option value=\"300cm\">300cm<\/option><option value=\"320cm\">320cm<\/option><option value=\"340cm\">340cm<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Headshot Photo (3.5 cm x 4.5 cm) <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"applicant-photo\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"applicant-photo\" \/><\/span><br \/>\n<span style=\"font-size: 0.85em; color: #666;\">* JPG or PNG format only (Max size: 1MB)<\/span><br \/>\n<\/label>\n<\/p>\n<hr \/>\n<H3> Mailing Address\n<\/h3>\n<p> Please provide the address for certificate delivery. Certificates are normally sent to your dojang unless otherwise requested.\n<\/p>\n<p><label> Receiver's name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"receiver-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"receiver&#039;s name\" value=\"\" type=\"text\" name=\"receiver-name\" \/><\/span> <\/label><br \/>\n<label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"applicant-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"+1 123-456-7890\" value=\"\" type=\"tel\" name=\"applicant-phone\" \/><\/span> <\/label><br \/>\n<label> Delivery Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"delivery-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Street address, City, State\/Province, ZIP, Country\" value=\"\" type=\"text\" name=\"delivery-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Additional Notes<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"additional-notes\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Enter any special requests or notes here...\" name=\"additional-notes\"><\/textarea><\/span> <\/label>\n<\/p>\n<hr \/>\n<p><label> Declaration <span class=\"required\">*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"declaration\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"declaration[]\" value=\"I hereby declare that the information provided above is true and correct, and I respectfully request to take the Hapkimooyeh Dan Examination.\" \/><span class=\"wpcf7-list-item-label\">I hereby declare that the information provided above is true and correct, and I respectfully request to take the Hapkimooyeh Dan Examination.<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Application\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"221\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"kt_blocks_editor_width":"","footnotes":""},"class_list":["post-492","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/hapkimooyeh.org\/?page_id=492\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.4\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"World Hapkimooyeh Federation - hapkimooyeh,\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Black Belt Examination Application Form - World Hapkimooyeh Federation\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/hapkimooyeh.org\/?page_id=492\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2015-01-09T17:53:39+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-10-31T00:39:10+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Black Belt Examination Application Form - World Hapkimooyeh Federation\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/hapkimooyeh.org\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492#listItem\",\"name\":\"Black Belt Examination Application Form\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492#listItem\",\"position\":2,\"name\":\"Black Belt Examination Application Form\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#listItem\",\"name\":\"Home\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#organization\",\"name\":\"World Hapkimooyeh Federation\",\"description\":\"hapkimooyeh,\",\"url\":\"https:\\\/\\\/hapkimooyeh.org\\\/\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492#webpage\",\"url\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492\",\"name\":\"Black Belt Examination Application Form - World Hapkimooyeh Federation\",\"inLanguage\":\"en-US\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#website\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/?page_id=492#breadcrumblist\"},\"datePublished\":\"2015-01-10T02:53:39+09:00\",\"dateModified\":\"2026-10-31T09:39:10+09:00\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#website\",\"url\":\"https:\\\/\\\/hapkimooyeh.org\\\/\",\"name\":\"World Hapkimooyeh Federation\",\"description\":\"hapkimooyeh,\",\"inLanguage\":\"en-US\",\"publisher\":{\"@id\":\"https:\\\/\\\/hapkimooyeh.org\\\/#organization\"}}]}\n\t\t<\/script>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"Black Belt Examination Application Form - World Hapkimooyeh Federation","description":"","canonical_url":"https:\/\/hapkimooyeh.org\/?page_id=492","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"BreadcrumbList","@id":"https:\/\/hapkimooyeh.org\/?page_id=492#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/hapkimooyeh.org\/#listItem","position":1,"name":"Home","item":"https:\/\/hapkimooyeh.org\/","nextItem":{"@type":"ListItem","@id":"https:\/\/hapkimooyeh.org\/?page_id=492#listItem","name":"Black Belt Examination Application Form"}},{"@type":"ListItem","@id":"https:\/\/hapkimooyeh.org\/?page_id=492#listItem","position":2,"name":"Black Belt Examination Application Form","previousItem":{"@type":"ListItem","@id":"https:\/\/hapkimooyeh.org\/#listItem","name":"Home"}}]},{"@type":"Organization","@id":"https:\/\/hapkimooyeh.org\/#organization","name":"World Hapkimooyeh Federation","description":"hapkimooyeh,","url":"https:\/\/hapkimooyeh.org\/"},{"@type":"WebPage","@id":"https:\/\/hapkimooyeh.org\/?page_id=492#webpage","url":"https:\/\/hapkimooyeh.org\/?page_id=492","name":"Black Belt Examination Application Form - World Hapkimooyeh Federation","inLanguage":"en-US","isPartOf":{"@id":"https:\/\/hapkimooyeh.org\/#website"},"breadcrumb":{"@id":"https:\/\/hapkimooyeh.org\/?page_id=492#breadcrumblist"},"datePublished":"2015-01-10T02:53:39+09:00","dateModified":"2026-10-31T09:39:10+09:00"},{"@type":"WebSite","@id":"https:\/\/hapkimooyeh.org\/#website","url":"https:\/\/hapkimooyeh.org\/","name":"World Hapkimooyeh Federation","description":"hapkimooyeh,","inLanguage":"en-US","publisher":{"@id":"https:\/\/hapkimooyeh.org\/#organization"}}]},"og:locale":"en_US","og:site_name":"World Hapkimooyeh Federation - hapkimooyeh,","og:type":"article","og:title":"Black Belt Examination Application Form - World Hapkimooyeh Federation","og:url":"https:\/\/hapkimooyeh.org\/?page_id=492","article:published_time":"2015-01-09T17:53:39+00:00","article:modified_time":"2026-10-31T00:39:10+00:00","twitter:card":"summary_large_image","twitter:title":"Black Belt Examination Application Form - World Hapkimooyeh Federation"},"aioseo_meta_data":{"post_id":"492","title":null,"description":null,"keywords":null,"keyphrases":{"focus":{"keyphrase":"","score":0,"analysis":{"keyphraseInTitle":{"score":0,"maxScore":9,"error":1}}},"additional":[]},"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"default","og_image_url":null,"og_image_width":null,"og_image_height":null,"og_image_custom_url":null,"og_image_custom_fields":null,"og_video":"","og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":false,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"WebPage","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":"-1","robots_max_videopreview":"-1","robots_max_imagepreview":"large","priority":null,"frequency":"default","local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":{"faqs":[],"keyPoints":[],"schemas":[],"titles":[],"descriptions":[],"socialPosts":{"email":{"subject":"","preview":"","content":""},"linkedin":[],"twitter":[],"facebook":[],"instagram":[]}},"created":"2023-09-26 11:10:35","updated":"2026-10-31 02:39:51","focus_keyword":null,"additional_keywords":null,"truseo_locale":null,"seo_analyzer_scan_date":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/hapkimooyeh.org\/\" title=\"Home\">Home<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\tBlack Belt Examination Application Form\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/hapkimooyeh.org\/"},{"label":"Black Belt Examination Application Form","link":"https:\/\/hapkimooyeh.org\/?page_id=492"}],"_links":{"self":[{"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/pages\/492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=492"}],"version-history":[{"count":2,"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/pages\/492\/revisions"}],"predecessor-version":[{"id":2466,"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=\/wp\/v2\/pages\/492\/revisions\/2466"}],"wp:attachment":[{"href":"https:\/\/hapkimooyeh.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}