The items marked with * below (such as "Name") are mandatory fields and must be filled before you press the "Submit" button. In case any of the mandatory fields is left unfilled and you press the "Submit" button, you will get an error message, that is, registration is incomplete and you need to fill in the mandatory fields again.
The other items not marked with * are optional items which you may fill if you wish. That is, your registration will be considered complete even if you do not fill any (or all) of the optional fields.

* Name:Salutation:	Mr. Mrs. Mr. Dr.   First:
Last:
* Email Address:
Contact Information:
ZIP:	e..g. 154-0016
* Prefecture:	Tokyo Kanagawa Chiba Saitama Gunma Ibaraki Tochigi Yamanashi Nagano
* City/Ward(ku)-Town-Village:	e..g. Setagaya-ku
* Local Address:	e..g. 1-2-15, Yoga
Building, apartment, etc.:	e..g. Harada Bldg. #203
* Phone: (office)	e..g. 03-1234-5678
Phone (home)	e..g. 03-1234-5678
Mobile phone	e..g. 090-1234-5678
Company/Organization Name:
Year of arrival in Japan:	Please select - 1980 1981-85 1986-90 1991-95 1996-2000 2001 2002 2003 2004 2005 2006 2007
Planned period of stay:	Please select Less than 1 year 1-2 years 3-4 years 5-10 years More than 10 years Do not know
Number of family members:	Please select 1 2 3 4 5 6 7 8 9 10-
* Language:	Please select Hindi English Japanese Assamese Bengali Bodo Dogri Gujarati Kannada Kashmiri Konkani Maithili Malayalam Marathi Meitei Nepali Oriya Eastern Panjabi Sanskrit Santali Sindhi Tamil Telugu Urdu Other

Latest Update: August 11, 2005