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平成30年度 剣道四・五段受審者講習会
申込み〆切：9月5日（水）
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Email
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所属団体
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なまえ（フリガナ）
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名前
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性別
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年齢
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緊急連絡先
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講習会参加日
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9月8日（土）
9月30日（日）
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現在の称号・段位
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現在の称号・段位取得年月
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四・五段受審予定者
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四段
五段
受審予定年月（平成○年○月）
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