Reguest for Information
For more detailed information, please fill in according to the formats below and push the “send” button under the screen. 
We will send you an information pamphlet. 
(* mark are mandatory items)

Requestor(Representative)

＊ Name
Furigana
＊ Relationship to the applicant
Postal code
＊ Address
＊ Telephone number
＊ E-mail

Students wishing to enroll in our school

＊ Name	(Name in Katakana or Roman alphabet)
＊ Age	year
＊ Nationality
Gender	Female　　　 Male
Postal code
＊ Address	※If the complete address is not known, please write the general area (province/street, etc.).
Highest level of education completed
Telephone number
＊ Requested attendance period	Year Month Date〜 Year Month Date
＊Do you require a student visa?	yes　　　 no

MESSAGE：

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