オンライン申し込み

Personal Information

記入例はこちらをご覧下さい。
Name
Male/Female
Home Address
Postal Code
TEL
E-mail
CELL
Mail
Citizenship
Date of Birth
Visa Classification
Passport No
Expire date
差額返金先銀行口座番号
口座名前
口座登録電話番号
銀行名
支店名

Accommodation Information

Start Date
Leaving Date
Are you allergic to pets?
If Yes, what animals?
Do you prefer a smoking or non-smoking family?
Do you have any food restrictions?
If yes, what food?
Do you have any medical/allergies your home stay family should know about?
What are you interested in?

Travel arrangements

Flight Information: Departure
Date
From
To
Tranfer at
Airline
Flight number
Time(Departure)
Local Time(Arrival)
Final Airport
Flight Information: Return
Date
From
To
Tranfer at
Airline
Flight number
Time(Departure)
Local Time(Arrival)
Final Airport

Course Information

School Name
Course
Start Date
Completion Date
Number of weeks of study /Wks

Memo

質問、要望等をご自由にご記入ください。（日本語可）
どうやってGrapes を見つけましたか?

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