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Request for Dan Certificates

1. Please read the directions on the form carefully. You will only need to print and send page 1 when completed.
2. Please submit all documents in printed letters, not in hand written letters. Please use fillable form for items 1-4. Type in your information then print out the form for submission.

3. Be sure to include current copies of Dan Certificates.
4. Be sure to include katakana on your form or on an attached page as described in #7.
5. Carefully follow instructions listed in #8 for fee submission. Be sure to carefully follow name and address information for International Money Orders or they cannot be processed.

Request for Dan Certificates fillable form