Request Form｜Akamonkai Japanese Language School

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Request Form

Name (Katakana)
（Required field）
例：Yamada Taro
Name
（Required field）
例：ヤマダ タロウ
Nationality
（Required field）
Sex
Campus
（Required field）
Student Status
（Required field）		  Student-visa student   Short-term student (short stay)   Short-term student (other visa)
※If you were Student-visa student, please enter your student ID number in the field below. If you were short-term students (short stay & other visa), please enter your student ID number or enrollment period in the field below.
Residence Card Number
Date of Birth
（Required field）
Phone Number
（Required field）		 - -
例：03-4567-8910
Fax Number - -
ex：03-4567-8910
Email Address
（Required field）
ex：yamada@example.com
＊Please re-enter for confirmation.
Shipping Address
Necessary Documents
（Required field）		 Transcript of Records  copies
Certificate of Completion  copies
Certificate of Attendance  copies
Each certificate costs 200 yen, plus a mailing fee starting at 140 yen.
Where to submit
Choose Applying Visa *only for those who are submitting to the immigration bureau
（Required field）

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