Participant's Name |
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Furigana |
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Birthday |
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Year
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Mon
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Sun
Age
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Current address |
〒 -
(Half-width numbers)
Prefectures
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Contact Information |
Please enter in half-width
* Mobile phones are also acceptable
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E-mail Address |
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School of your choice |
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Room Type |
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Desired License |
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Desired Entrance Date |
Example: 20210309 for March 9, 2021
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License you already have |
Do you currently have other licenses besides the one you are getting this time?
*If you have multiple items, please write them in the "Requests, etc." section.
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Payment Method |
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Number of people students enrolled |
If you are Reservation for above one person, please enter the "name and Phone number of the person accompanying you" in the request column.
- Male:Person
- Female:Person
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Requests, etc. |
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How did you find out about this site? |
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