Flight and Arrival Confirmation Form
Last Name *
As shown on your passport.
Your answer
First Name *
As shown on your passport.
Your answer
Middle Name(s) *
As shown on your passport. If you have no middle name, please write "none".
Your answer
Your flight information
1. Arrival flight
Arrival date and time *
Please provide in Japan Standard Time (UTC +9).
MM
/
DD
/
YYYY
Time
:
Airline *
Your answer
Flight number *
Your answer
Arrival airport *
Your answer
2. Departure flight
Only required if you have already reserved your return flight.
Departure date and time
Please provide in Japan Standard Time (UTC +9).
MM
/
DD
/
YYYY
Time
:
Airline
Your answer
Flight number
Your answer
Departure airport
Your answer
Airport pickup
Please refer to our website for details.
Will you use our airport pickup service on the Arrival in Japan date? *
Hotel booking
Will you stay at the Kawagoe Dai-Ichi Hotel on the Arrival in Japan date? *
If you answered no to the above question, please state your reason(s) for not staying at Kawagoe Dai-ichi Hotel.
Your answer
(If you are not staying at Kawagoe Dai-ichi Hotel) Name of hotel / person where you will be staying the night before the program starts
Your answer
Address
Your answer
City
Your answer
State / Province
Your answer
ZIP / Postal Code
Your answer
Telephone Number
Your answer
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