Online Forms | HIF Japanese Language and Japanese Culture Program

Online Registration Form for Applicant


User ID	Your user ID will be automatically created upon completion of registration.
*Family Name
*First Name
Middle Name
*Family Name (in カタカナ)
*First Name (in カタカナ)
Middle Name (in カタカナ)
*Gender
*Age
*Birth Date	Month 　Day 　Year
*Citizenship (written in your passport)
Chinese Citizen	PRC　 ROC　 Hong Kong (BNO/SAR)　 Macau (SAR)　 If you are a Chinese citizen, please check which passport you have.
Name in Chinese Characters
Contact Information
*Mailing Address	street address, city, state/province, zip code, country
*Tel
*Permanent Address	street address, city, state/province, zip code, country
*Tel
*E-mail Address	Your ID and password will be sent to this email address.
*Re-enter E-mail Address
Person to Contact in Case of Emergency
You may list a parent, family member, spouse, or other trusted individual as your emergency contact.
*Name
*Relationship
*Address
*Tel
*E-mail
Academic Background
*University you are CURRENTLY attending
*Course
*Major field of study
Second major/ Minor
Current occupation	if you are not enrolled in university at the moment
*School name 1 attended	Please begin with recent year.
*Period	～
*Degree	(e.g.) doctor, master, bachelor, high school, etc.

School name 2 attended
Period	～
Degree

School name 3 attended
Period	～
Degree

*How did you learn about this program?	Sensei Study abroad information session Exchange program office Former participant(s) Poster Website Other Please check all that apply.