*

Preregistration

Please fill and send us the following information (we will be contacting upon receiving the information)

Your Name (First Name, Surname) *required:

University *required:

Field of Study (Major) *required:

Grade *required: 1 2 3 4 Graduate college: 1 2

Gender *required:
 male female

Age *required:

Your Email *required:

Cellular Phone Number *required:

Reason for Participation *required:

Please Select Date of Participation by Circling the Date
(Multiple Participation Preferred and Full Participation Most Desirable)

 Day 1:Sep 4th (Mon), 2017:<14:30-17:30> The Japanese Chamber of Commerce Day 2:Sep 5th (Tue), 2017:<1 whole day> To Be Announced(one of Japanese companies)<1> Day 3:Sep 6th (Wed), 2017:<9:00-12:00> To Be Announced(one of Japanesecompanies)<2> Day 3:Sep 6th (Wed), 2017:<13:00-18:00> To Be Announced(one of Japanesecompanies) <3> Day 4:Sep 7th (Thu), 2017:<1 whole day> To Be Announced(one of Japanesecompanies) <4> Day 5:Sep 8th (Fri), 2017:<09:00-12:00> To Be Announced(one of Japanesecompanies) <5> Day 5:Sep 8th (Fri), 2017:<13:00-18:00> To Be Announced(one of Japanesecompanies) <6> Day 5:Sep 8th (Fri), 2017:<19:00-21:00> Cultural Exchange Party (Buffet Style)

How did you find out about this program
(Please circle the option that applies)

 From a pamphlet displayed and/or placed around at the university From a person handing out the pamphlet From a teacher From other students From a facebook of Japan Student Services Organization From other web site Etc.

Comments:

**Please note that this project may be cancelled due to minimum required applicants from Japanese university students.
The minimum is 10 Japanese university students.
We ask for your understanding in advance.


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