Applicant’s Name:

Dan Shim Sa

Sam Dan Paperwork Checklist

Paperwork Must Be Type Written

Application For Dan Promotion (2005-04-12 version)

3 Passport Size Photos (must fit in 1¼” x 1¼” box!) Attach one to Dan Promotion Form.

$355 Fee (Make Payable to Region 9)

Required Essay 1000 words or more double spaced: (one of the following)

Explain your understanding of the philosophy of Self-Defense. Include in your explanation, its meaning, purpose, and basic use.

Describe the origin, nature, and importance of the Yuk Ro Hyungs in the development of Soo Bahk Do Moo Duk Kwan and the training of Dan students.

Written Federation Examination From Volume 1 Study Guide

Federation Waiver

Proof of Federation Membership

Dans must provide a copy of current Federation Dan Membership Card.

Mail To: Region 9 Soo Bahk Do

1538 W. Carson St.

Torrance, CA 90501

(Must be postmarked 3 weeks prior to the Dan Shim Sa)

Joshua Duncan

2005-09-09

Robert Catherina