生活(せいかつ)ガイダンス Life Guidance 生活小指南 Hướng dẫn cuộc sống
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お名前(なまえ) Name 姓名 Tên
電話番号(でんわばんごう)TEL 电话号码 Số điện thoại
メールアドレス Email Address 电子邮件 Địa chỉ email
いつ参加(さんか)しますか?Request date of guidance  希望参加的日期 Ngày bạn muốn tham dự
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