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Grado Matricola
A
APPLICAZIONE
TECNICA
FONDAMENTALE
Calcio frontale, calcio
laterale, calcio circolare
B
FREESTYLE
A libera scelta del
candidato
C1
C2
C3
Luogo ______________________ Data ________________________
VALUTAZIONE TECNICA
VOTO
VOTO M E DIA
VOTO OTTENUTO
Nazionalità
Indirizzo completo (Via, CAP, Località, PROV)
tel.
1° ROUND
2° ROUND
3° ROUND
VALUTAZIONE FORMA
Obbligatorie
IDONEO
VOTO FINALE
COGNOME
Luogo e data di nascita
COMBINAZIONI IN STEP
A scelta della
Commissione
8° TAEGEUK
7° TAEGEUK
VOTO M E DIA
VOTO OTTENUTO
VOTO
VOTO M E DIA
VOTO OTTENUTO
Firma del candidato
Codice società
NOME
FEDERAZIONE ITALIANA TAEKWONDO
VERBALE DI ESAME REGIONALE
1° POOM 1° DAN
I Commissari
NON IDONEO
COMBATTIMENTO
VOTO
l
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