Request Form｜Akamonkai Japanese Language School

Name (Katakana) *Required	Ex:ヤマダタロウ
Name *Required	Ex:山田太郎
Nationality *Required
Sex
Campus *Required
Student Status *Required
Residence Card Number
Date of Birth *Required	(Y)(M)(D)
Phone Number *Required	- - Ex: 03-4567-8910
Fax Number	- - 例：03-4567-8910
Email Address *Required	Ex: yamada@example.com *Please re-enter your e-mail address
Shipping Address
Necessary Documents *Required	Certificate of Attendance/Grades (出席・成績証明書）copy Certificate of Completion（修了証明書）copy Certificate of Attendance（受講証明書）copy 200YEN per copy; additional cost for shipping (120YEN～)
Where to submit
Choose Applying Visa only for those who are submitting to the immigration bureau Required