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Alpha Partner Regitration Form (Female)/アルファ・パートナー登録フォーム(女性用)
Please fill out the form below. Either English or Japanese is acceptable.
以下のフォームにご記入下さい。英語、日本語どちらでも構いません。
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* Indicates required question
Name(名前)
*
Your answer
Year of Birth/yyyy(生まれ年/西暦)
*
Your answer
Name of Workplace/Occupation(勤務先)
*
Your answer
Annual Income(年収)
Choose
~ $50,000(500万円未満)
$50,000~$100,000(500万円~1000万円)
$100,000~$150,000(1000万円~1500万円)
$150,000~$200,000(1500万円~2000万円)
$200,000~(2000万円以上)
Educational Background/Name of the school(最終学歴/学校名)
*
Your answer
Email
*
Your answer
Facebook(URL)
*
Your answer
Skype ID
*
ニックネームでも構いません。お相手との初回お見合いをスカイプで実施いただきます
Your answer
About you(No more than 200 letters) (自己紹介)
*
You can write down anything you want to tell the partner. フリー記載です。お相手に伝えたいことを自由に記載ください
Your answer
Privacy Policy Confirmation(Click the URL below)
*
https://docs.google.com/document/d/1FONUGJIgWFGTWdGRRkhbYb51gdna3SU0-DvFsTPB-Eg/edit?usp=sharing
I have confirmed the Privacy Policy and accept it. (アルファ・パートナー プライバシーポリシーを確認のうえ、同意します)
Required
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