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Interim Instructors Course

Application form

This form is for instructors who have let their Update Course qualification lapse and need to extend their qualification until the next available Update Course or IIC.
The instructor should arrange for a suitable date and venue for the course, which is normally around 2 hours. So this can be on an evening or weekend that suits all parties. It can be a one on one session or in a small group.
Name of your Club:
Email address:
Current Rank:

Proposed date of the course:
Proposed venue for course:
Areas need to be re-tested
Fee: Fee is $75.00 - pay now into bank account:
ASB 12-3035-0746009-00. Use your surname and "interim" as references.
Your Bank Account:
This is for any refunds if case the course is cancelled.

Other information or questions:
Please Verify :


  • I agree not to hold International Taekwon-Do or the organisers responsible for any injury I may sustain during the event.
  • I have paid the re-test fee into the account noted above.
  • I understand that I have one chance only at this re-test, after which if unsuccessful I must re-apply for the whole black belt grading.
  • I have my instructors consent and the agreement of the examiner to sit this re-test.
  • I agree to notify the organisers at least 48 hours in advance if I am for any reason unable to attend, so that someone can take my place. If I do not cancel I understand I am obligated to still pay the application fee.

I agree to the conditions listed above and submit my application




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