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CONTACT FORM of ERcenter International Student  Counseling  Room  【ＥRセンター留学生相談室】　相談申込フォーム

You can make a reservation for a consultation by filling out the form below and sending it.

You can also make a reservation by visiting directly during room opening time.

Email *
Name *
Your Home Country: *
Gender: *
Major *
Admission Year *
What grade are you in? *

Please choose the content of consultation

 *

Please briefly write the content of consultation

 *

Have you ever consulted other Student Counseling Room? If yes please define the name of that.

 *

Interview preferred date and time : 

1st choice ( Month, date , time )   and 

2nd choice ( Month, date , time )

 *

Preferred method of consultation

 *

Other requests, questions, or message if any:

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