Online entrance application





Applicant Information

Preferred entrance season
 April 2015 July 2015 October 2015 January 2016

Preferred course
 General Course Pre-College Course Art Course Career Bridge Course

Preferred study period
 3 months 6 months More than 1 year

Plan after the course
 Higher education Employment Back to country

Your Name (required)

Your Email (required)

Gender
 Male Female

Date of birth(year/month/day)

Phone number

Skype ID (For the web interview)

Nationality

Passport number

Passport expiry date

Marital status
 Single Married

Name of your spouse(if any)

Academic Information

From elementary level to date

Elementary School

Name of elementary school

Address of elementary school

Entrance (year/month/date)

Graduation (year/month/date)

Middle School (Secondary)

Name of secondary school

Address of secondary school

Entrance (year/month/date)

Graduation (year/month/date)

High School (Higher Secondary)

Name of high school

Address of high school

Entrance (year/month/date)

Graduation (year/month/date)

University (College) 1

Name of college

Address of college

Entrance (year/month/date)

Graduation (year/month/date)

University (College) 2

Name of college

Address of college

Entrance (year/month/date)

Graduation (year/month/date)

University (College) 3

Name of college

Address of college

Entrance (year/month/date)

Graduation (year/month/date)

Japanese study record

Name of school

Address of school

Entrance (year/month/date)

Graduation (year/month/date)

Previous visit to Japan

Have you visited to Japan before?
 Yes No

Latest visit

Entrance date 1 (year/month/day)

Departure date 1 (year/month/day)

Visa status 1

Purpose of visit 1

2nd latest visit

Entrance date 2 (year/month/day)

Departure date 2 (year/month/day)

Visa status 2

Purpose of visit 2

3rd latest visit

Entrance date 3 (year/month/day)

Departure date 3 (year/month/day)

Visa status 3

Purpose of visit 3

Family Structure

Family member 1
 Father Mother Brother Sister Uncle Aunt Cousin

Name/Age/Occupation/address