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日本語コース申込書
Japanese Course Application Form
東京ひろがり日本語学校 Tokyo Hirogari Japanese language school
Tel:（+81）42-850-9917 Email: info@hirogari.tokyo
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* Indicates required question
Application course
*
Private Lesson（Online＋Offline）
Trial Classes
Required
Name (English notation)
*
Your answer
Name (Kanji notation)
※Only for people in the Kanji area
Your answer
Name (katakana notation)
※ Only for those who can write katakana
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Nationality
*
Your answer
Place of residence
(English or Japanese notation)
*
Your answer
Contact phone number
Your answer
Email address
*
Your answer
Occupation
*
Society
University student / vocational school student
Other
If you have taken the Japanese Language Proficiency Test, please tell us the grade and whether you passed or failed.
N１
N２
N３
N４
N５
Not Pass
Pass
N１
N２
N３
N４
N５
Not Pass
Pass
Status of residence
(for residents in Japan only)
Your answer
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