Nage-no-Kata (2nd set only)
| Names | Age | Grade | |
| Tori | |||
| Uke |
| 10 | 7 | 5 | 3 | 0 | -3 | notes | ||
| Presenting appearance and attitude | ||||||||
| Presenting salutation | ||||||||
| Â Â Â Â transition | ||||||||
| R Attack and L Uki-goshi | ||||||||
| Â Â Â transition | ||||||||
| L Attack and R Uki-goshi | ||||||||
| Â Â Â transition | ||||||||
| R Harai-goshi | ||||||||
| Â Â Â Â Â transition | ||||||||
| L Harai-goshi | ||||||||
| Â Â Â Â Â transition | ||||||||
| R Tsuri-komi-goshi | ||||||||
| Â Â Â Â Â Â transition | ||||||||
| L Tsuri-komi-goshi | ||||||||
| Â Â Â Â Â Â transition | ||||||||
| Closing salutation | ||||||||
| Points scored | TOTAL POINTS | |||||||
| Name of shinpan | Names of additional shinpans | |||
| General comments | ||||