なまえ / Name(katakana)※You can skip if you haven't learn Japanese writing.
Your answer
なまえ / Name(Chinese character) ※You can skip if you don't have Chinese character in your name.
Your answer
国籍 / Nationality *
Your answer
生年月日 / Date of birth ( yy .mm. dd)
MM
/
DD
/
YYYY
年齢 / Age *
Your answer
来日年月日 / Date of Arrival to Japan ( yy .mm. dd)
MM
/
DD
/
YYYY
住所 / Address of your residence
Your answer
電話番号 / Phone number
Your answer
メールアドレス / Email address ※いつも使っているもの/What you usually use *
Your answer
もう一度同じアドレスを記入してください。 / Please fill in the same address again, just to be sure. *
Your answer
UECアカウント / UEC account (ex.n2101489) ※UEC account consists of a single alphabet and seven digits. ※If you don't have your UEC account yet, you don't have to fill it out.
Your answer
あなたはこれまでUECの全学日本語コースに登録したことがありますか。 / Have you ever registered for a Japanese language course at UEC before? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of 電気通信大学・留学生情報教育ネットワーク. Report Abuse