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Japanese learner registration

This is the registration page for conducting Japanese activities of the Chiba City International Association.
About Japanese learner registration please use this form.

Please check the opening days and hours of the library before filling in the verification date for your ID (residence card).
For opening hours / languages ​​/ locations please use this form.
*Registration information will be deleted if identification is not confirmed for one month or more.

Japanese learner registration

    フリガナFurigana

    お名前Name

    性別Sex

    生年

    国籍Nationality

    在留資格Visa status

    住所Adress

    〒(Zip code)

    都道府県(Prefecture)

    市区町村番地(City ward)

    それ以降(Street address & Apartment)

    電話番号Contact number in Japan

    メールアドレスE-mail address

    アドレスは半角英数で入力してください。
    携帯番号のメールアドレスでお問い合せする場合は、「受信拒否設定」を解除してください。

    確認のため再度入力してください

    日本に来た日Arrival Date in Japan

    話せる言語your language

    話せる言語1

    話せる言語2

    在留期限Expiration Date

    本人確認実施予定日The expected date when you can visit our office to present your ID

    ※ボランティア登録は本人確認をすることで、登録完了となります。本人確認実施予定日をお決めいただく際は、開館日や開館時間をご確認の上お越しください。また、予定が変更になった場合はご連絡ください。