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【Aoyama Gakuin Univ】Residence Application Form

●Applicant Information
Name
*as shown in your passport必須
First name 
Last name 
Furigana (Pronunciation of your Name)必須
First name 
Last name 

Name in Japanese Katakana required
Gender必須
Date of Birth (dd-mm-yyyy)必須
 day  month  year 
Nationality必須

Address
必須
Contact Number必須
Country Code 
Phone Number 
Email Address必須
Home University必須
Department / School
(Prospective Department
　/ School)
Aoyama Gakuin University  Department    Faculty  
Japanese Level必須
●Emergency Contact
Name必須
First name 
Last name 
Furigana (Pronunciation)必須
First name 
Last name 
Relationship必須
 （Ex.: Father）   
Nationality必須

address
(others)
Contact Number必須
Country Code 
Phone Number 
Email Address 必須
●Details
Dormitory Preferences必須
Contract Period必須

*The move-in date of the dormitory will be determined according to the school's schedule. We will contact you when the details are finalized.

Half-Year: Until Feb.28.2026
Year: Until Jul.31.2026

*The above end date is based on a typical year's schedule.
Please contact at [agu-aoyamacp@dormy.co.jp] if you wish to make changes due to the class schedule.
Meal plan必須

*The difference between including/excluding meals is 5,000 yen.
*Special menus for allergy, vegetarian, vegan, or religious reasons are not available.
Payment Method for Dormitory Fees　 (for a year contract)


*Handling fees are incurred with each payment, so we recommend one-time payment.
*Credit card payment is not accepted.

Please note that the handling fee is at your own expense when paying at a convenience store or bank transfer.必須

* Initial Payment must be completed before moving-in by wire transfer.

* For those who select semi-annual payment, you can select from convenience store payments, bank transfers (both domestic and international), or automatic bank withdrawal (Japanese banks only and application required) after moving-in.
Payment Method (for a half year contract)

*Handling fees are incurred with each payment, so we recommend one-time payment.
*Credit card payment is not accepted.

Please note that the handling fee is at your own expense when paying at a convenience store or bank transfer.必須

* Initial Payment must be completed before moving-in by wire transfer.
* For those who select semi-annual payment, you can select from convenience store payments, bank transfers (both domestic and international), or automatic bank withdrawal (Japanese banks only and application required) after moving-in.
Bedding Lease

* Included Items in the Bedding Set:
Pillow, blanket, comforter, pillowcase, comforter cover, sheets and Shikibuton (Japanese futon mattress) for a wood slatted bed OR bed pad for a bed with a mattress.

You can change the sheets three times a month.必須

*Bedding lease fees are non-refundable after moving-in.

*If you do not request bedding, please purchase it by the day of check-in. (We do not accept baggage delivery before move-in. Please specify a date and time according to your move-in day)
Urethane Mattress


・Wood slatted bed
Dormy Soshigaya-Okura
Dormy Kasai Global House

・Bed with a mattress
Dormy Nakakasai Global House必須

If you apply for it along with a bedding rental: 4,620 yen
If you want the urethane mattress only: 6,600 yen
Remarks
（Request /Questions)