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子育て交流会 申し込みフォーム PARENTING ACTIVITY Application Form
締め切り:3月7日(火)午後5時
ひろしま国際センター 研修部研修課
担当:上田
Deadline: Tuesday, March 7th, at 5 p.m.
Hiroshima International Center Training Division, Training Department
(Ms.) UEDA
Tel: 082-421-5900
hicc40@hiroshima-ic.or.jp
ご記入いただいた個人情報は,適切に管理を行うとともに,ひろしま国際センターの業務のみに使用し,他の目的では使用しません。
We will manage personal information appropriately and use it only for HIC's work and not for other purposes.
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Email
*
Your email
名前 Full Name
*
Your answer
ニックネーム Nickname (できればカタカナで In Katakana if possible)
*
Your answer
国籍 Nationality
*
Your answer
パートナーの名前 Your Partner's Name
パートナーが出席しない場合、入力の必要はありません。If your partner doesn't attend this event, it is okay to leave this blank.
Your answer
パートナーの国籍 Your partner's nationality
パートナーが出席しない場合、入力の必要はありません。 If your partner doesn't attend this event, it is okay to leave this blank.
Your answer
子どもの名前 Name(s) of your children
*
例:太郎、次郎、花子... すべての子どもの名前を入力。ニックネーム可。
EXSAMPLE: TARO, JIRO, HANAKO... Enter ALL of your children's names from your first child. Nicknames are OK.
Your answer
子どもの年齢 Children's ages respectively
*
例:3才、1才、3か月 それぞれの子どもの年齢を第1子から記入 EXSAMPLE: 3 years, 1 year, 3 months... Enter each of your children's age beginning with your first child.
Your answer
電話番号(ハイフンなし) Phone number without hyphens
*
例 EXSAMPLE: 09012345678
Your answer
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