MY PAGE

Contract Type required

Individual Contract Corporate Contract

Corporate Information (Company/Corporation/School)

Name of Employer

Name of representative

Postal Code

Address

Home Phone No.

Country

Corporate Homepage

Name required

Family Name

required

Middle Name

Given Name

required

E-mail address required

Password required

Gender required

Male Female

Date of Birth required

Year

Year2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Month

Month1 2 3 4 5 6 7 8 9 10 11 12

Date

Date1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Language used required

Nationality required

Contact in Home Country required

Postal Code

required

Residential address

required

Home Phone No.

required

Contact in Japan

Postal Code

Residential address

Home Phone No.

Emergency Contact required

Emergency Contact(Name)

required

Relationship with the Person

required

Family Friend Other

Emergency Contact(Address)

required

Home Phone No.

required

School/ Work place

Please write your School /Company/Internship name

Reason of visit to Japan required

Working Training Studying Sightseeing Others

How did you know us? required

How did you know us?

Please choose Searching system Portal site recommended by friend Recommended by School/ Agent Other

Specific details