Application form for Digireha World Autism Awareness Day Campaign

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in Digireha, Inc.'s "World Autism Awareness Day Campaign."
Please fill in the required information below.

Your personal information will be handled appropriately in accordance with our Privacy Policy, which can be found at the following URL:
https://www.digireha.com/docs/privacy_policy_en.pdf

Email *

Please enter your full name. *

School / Organization Name
Please enter the name of your school or organisation *

Phone Number
Please enter your contact number *

System Requirements Confirmation
Please confirm that your PC (windows only) meets the required specifications to use the DigiReha apps.

I confirm that the following system requirements are met:
CPU: Intel Core i5-1235U or higher
Memory: 16GB or more
Operating System: Windows 10 (64-bit)
Display Resolution: 1920×1080 or higher

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of 株式会社デジリハ.

Does this form look suspicious? Report

Forms