※ marks are required items

Name※

Nationality※

E-mail address※

Confirm E-mail address※

Course

Class lessons Private lessons Others

Are you the one to enroll？

Yes No

Do you (or the person who wants to enroll) live in Japan？

Yes No

Do you need student’s visa？

Yes No

Have you ever learn/study Japanese？

Yes No

N5 N4 N3 N2 N1 Not sure

Desired date of admission

Purpose / Goal of studying Japanese

Go on to higher education Employment Pass the proficiency test For daily life Other

How did you get to know this school?

ICA Website ICA Facebook page Introduction of acquaintance Introduction of family Other

Inquiry