LUJ Open College Information Session Sign Up Sheet
Full Name (漢字) if applicable
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Family Name (姓・ローマ字) *
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First Name (名・ローマ字) *
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Nationality (国籍)
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Gender (性別)
Postal Code (〒) *
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Home Address (ご住所 ) *
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Home Phone (ご自宅 TEL)
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Mobile Phone (携帯電話)
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Email (Eメール) *
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How did you learn about the Open College program? (本学のオープン・カレッジをどこで知りました?) *
I am interested in attending one of the Information Sessions on: (開講講座説明会(無料)に参加します) *
1st interest for an Open College class (一番興味があるクラス) *
2nd interest for an Open College class (二番目に興味があるクラス) *
3rd interest for an Open College class (三番目に興味あるクラス) *
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