Application form of Special course

Japan


Your Name (required)
Your Name with KATAKANA (required)
Your Email (required)
Boat's operator's license you haveNoneFirst classSecond classPWC classNO:
Date of Birth(required) Age
SexMaleFemale
Nationality(required)

Postal code (Seven digits)

Address1(Japanese,automatic input)

Address2(English)
Address2
PhoneMobile phone
Payment of expensesBank transferPaypalPayPay

Are you able to hold daily conversations in Japanese?

YesNo

If you answer "No", you can not join this lesson.

Your Message

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