Application form for the general selection for foreign and Japanese students for the 2022 academic year of Hiroshima Global Academy
I certify the following information provided is true. I also understand Hiroshima Global Academy (HiGA) considers the following information to be directory information (private information). All information collected in this survey will be protected by HiGA and not shared with any external entities. HiGA will only use this information to prepare and conduct the admissions.

If you have any questions, please contact our admission office: higa2022@higanet.higa.ed.jp
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(1) Applicant's information
Family name: *
First name: *
Middle name:
Gender: *
Country of nationality: *
If you have more than one nationality, please enter all nationalities.
Current home address: *
Please include the country name.
Date of birth: *
Please check the eligibility requirements: https://higa-s.jp/en/senior-high/application-process/
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Personal email: *
All information from HiGA will be sent to this email address, so please make sure to enter it correctly.
Home/Mobile phone: *
Time of enrollment: *
Please select when you would like to start your studies at HiGA.
The reason for above is: *
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