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School Enrollment Application Form

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To the Best Japanese Language School Board

Considering your advice I have selected the following Japanese language school, and appreciate your further assistance for my stay in Japan.

Name of the school I want to enroll:

Study period: Ex.) From April 2014 to March 2015

Your Japanese level:
 Almost none Beginner Intermediate Advanced

 n5 n4 n3 n2 n1 None

Your English level:
 Beginner Intermediate Advanced Mother tongue

Your last school name (If you are student, your expected graduation month and year)
Your School Name:
Graduated in (month and year) Ex.) March 2013

 I want you to arrange after school enrolment procedures are completed. I arrange it myself.


My personal information

Name in English:

 Male Female

Date of Birth:


Present Address:

Your Email:

Your reference in case of emergency




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Special Bonus

The below will also be presented free of charge to those who have enrolled 1 yearcourse and over to a Japanese language school.

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