21S 全学日本語コース登録 / Japanese Course Registration
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なまえ / Name(alphabet) *
なまえ / Name(katakana)※You can skip  if you haven't learn Japanese writing.
なまえ / Name(Chinese character) ※You can skip if you don't have Chinese character in your name.
国籍 / Nationality *
生年月日 / Date of birth ( yy .mm. dd)
MM
/
DD
/
YYYY
年齢 / Age *
来日年月日 / Date of Arrival to Japan  ( yy .mm. dd)
MM
/
DD
/
YYYY
住所 /  Address of your residence
電話番号 / Phone number
メールアドレス / Email address ※いつも使っているもの/What you usually use *
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. *
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.
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? *
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