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2024 KIA Japanese language class
にほんごクラス
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name 名前
Your answer
Nationality 国籍
Your answer
Languages Understood 言語
Your answer
E-mail address
Your answer
Address 住所
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Mobile Phone 電話番号
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Date of Birth 生年月日
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Date of arrival in Japan 来日年月日
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What is your current residency status? あなたの在留資格は次のどれですか。
*
Special Permanent Resident 特別永住者
Permanent Resident 永住者
Overseas Education 留学
Technical training 技能実習
Long-term Resident 定住者
Married to a Japanese 日本人の配偶者等
Dependent 家族滞在
Specialist in Humanities・International Affairs 人文・知識・国際業務
Engineer 技術
Skilled Labor 技能
Designated Activities 特定活動
Married to a Permanent Resident 永住者の配偶者等
Other:
Period of stay in Japan 在留期間（満了日）
Your answer
Family members living together 家族構成
Name Relationship Company ・School Status of Residence 名前 続柄 会社・学校 在留資格
Your answer
Profession 職業
Your answer
Which class would you like to attend？どのクラスに参加しますか？
Hiragana＆Katakana
Japanese Language 1
Japanese Language 2
Would you consent for us to display photos of you on our pamphlets or webpage? ホームページやチラシに写真を載せてもいいですか。
Yes はい
No いいえ
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