到着日程アンケート (2020年4月)　Arrival Information Form (April 2020)

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Email *

氏名（パスポートどおりにご記入ください） Name (please write in the same way as written in your passport) *

性別　Gender *

男　Male

女　Female

国籍　Nationality *

課程名　Program Name *

交換留学生 Exchange Student

学部生 Undergraduate Student

特別履修生 Non-degree Student

大学院 Graduate Student

編入学生 Transfer Student

別科日本語研修課程 Bekka Student

受験番号　Application Number

※交換留学生は大学名を記入する　Exchange Students may write their Home University name

連絡先電話番号　Contact telephone number

現在、日本に住んでいますか？　 *

Are you currently living in Japan?

はい Yes

いいえ No

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