| SCHOOL NAME |
|
| EXPECTED ENTER-SCHOOL |
year
month
day
|
| HOW LONG ATTENDING |
year
month (s)
|
| TYPE OF YOUR VISA |
student
working-holiday
others
|
| YOUR NAME |
|
| SEX |
MALE
FEMALE
|
| NATIONALITY |
|
| YOUR JAPANESE ABILITY |
FLUENT
SOME
VERY LITTLE
NONE
|
| PERSON IN CHARGE OF PAPERWORK |
|
| TEL(preferably TEL no. in Japan) |
|
| FAX(preferably FAX no. in Japan) |
|
| E-Mail |
|
| NAME of your COMPANY/SCHOOL |
|
| TEL of your COMPANY/SCHOOL |
|
COMMENTS
|
|
|
|