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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 noneBeginnerIntermediateAdvanced

JLPT:
n5n4n3n2n1None

Your English level:
BeginnerIntermediateAdvancedMother 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

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

Remarks:


My personal information

Name in English:

Gender:
MaleFemale

Date of Birth:

Nationality:

Present Address:

Your Email:


Your reference in case of emergency

Name:

Address:

E-mail:


Input this code: captcha

*A message of completion is shown below

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