ARBN 604 856 395 Incorporated in Victoria, Members’ liability limited by the Associations Incorporation Reform Act 2012.
DAN EXAMINATION & ACCREDITATION FEE SCHEDULE
DAN GRADING FEE SCHEDULE
Dan Registration Fee Examination Fee Total
4 A$265 A$65 A$330
5 A$570 A$65 A$635
Total Dan Grading Fee Paid $__________________
INSTRUCTOR ACCREDITATION ‐ FEE SCHEDULE Instructor Registration Fee Examination Fee Total B Level A$120 A$65 A$185 C Level A$65 A$65 A$130
Total Instructor Registration Fees Paid $__________________
EXAMINER ACCREDITATION ‐ FEE SCHEDULE Registration Fee Examination Fee Total
B Level A$350 A$65 A$415 C Level A$250 A$65 A$315
Total Examiner Registration Fees Paid $__________________
Note: There is a one year waiting period between C and B level examiner accreditation exams.
JUDGE ACCREDITATION ‐ FEE SCHEDULE Registration Fee Examination Fee Total
B Level A$120 A$65 A$185 C Level A$65 A$65 A$130
Total Judge Registration Fees Paid $__________________
Registration cut‐off date and payments for the above exams is: 4 September 2015
Please be advised the $65 Examiner fee is non‐refundable.
Note: Please register online using the following link. Kindly ensure all sections of the dan registration form are completed otherwise it will not submit. Please scan and attach a copy of your previous Dan certificate and for Qualifications a
copy of you Accreditation Card issued by JKA HQ.
All fees must be paid directly into JKAA’s bank account at:
JKA Australia Inc., Westpac Bank, Rowville, BSB 033149 Account 393958.
Please confirm direct deposit payments including receipt # to: [email protected] , Treasurer,
and [email protected].
ARBN 604 856 395 Incorporated in Victoria, Members’ liability limited by the Associations Incorporation Reform Act 2012.
ACCREDITATION EXAMINATION APPLICATION Please complete this form and submit.
*Fill in all sections of this form completely
Name Surname First Name
Address Country
State
Street
Phone
Birth Date Year Month Date Age
Organization Name (That you belong to)
Registration Number ( ) Regular ( ) Permanent
Dan Rank Dan Acquisition Date: Year Month Day
Registration Number:
Testing License Circle please.
Instructor Examiner Judge
B C B C B C
This section is to be completed by Administration Only.
Instructor Examiner Judge
Judgement
Authorize Number
Exam Fee
Registration Fee
Notes