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The 9th Special Workshop / Seminar to improve the expertise④ of JSPA/Application form_copy

Complete the form below and press the confirm button
Namerequired
Last name 
First name 
Genderrequired
Date of Birthrequired
 year  Month  Date 
Addressrequired

Please enter zip/postal code,street address,town/city,Country
Mail Addressrequired

Please re-enter to confirm.
※E-mail from JSPA may be sent to the spam folder in case you register docomo / au / softbank mail address.We suggest registering any other mail address except those carriers.
Contact Phone Number(Mobile)required
 Country code   -  - 
You are?required

Students are required to attach a photo of their student ID
Please selectrequired
category
fee
qty:1 only
subtotal
Regular member
3,000yen
yen
Non member
4,000yen
yen
Student(application:after October 2)
500yen
yen
[合計]
yen
Enrolled school namerequired
School yearrequired
Please attach a photo of your student IDrequired
Please confirm before you complete application ①required

If agree,please mark ✓
Please confirm before you complete application ②required

*JSPA is not responsible for any online troubles may cause.
If agree,please mark ✓
Message if any
※An automatic reply will be sent to the registered E-mail address,if you do not receive the automatic reply,please contact us at nihon@shonihari.jp

※Please transfer the participation fee within 3days after applying.
※In case of the applicant and the remitter is different,please identify the name of the applicant in the message field of the bank transfer form.
※All paid participation fees are non-refundable.
※JSPA will not issue a receipt,the statement of the bank transfer will be as your receipt.