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The Japanese-Language Proficiency Test in 2017(July)Application Form
This is the official online Application Form for the Japanese-Language Proficiency Test (JLPT) in Manila and Cebu City of the Philippines, administered by The Japan Foundation, Manila (JFM) and Japanese Association Cebu, Inc (JACI).

*Please note that to complete the JLPT registration process, all applicants are required to settle their examination fee payment to respective institutions in the areas where they wish to take the exam during the "Payment+Photo Submission Period" below.

This form has 33 items. It will take about 10 minutes to complete. You cannot send the information unless you fill in the items which have *. It is better to prepare all the necessary information before starting.

★SCHEDULE★
・Online Application Deadline: March 8 (Wed) Midnight
・Payment+Photo Submission Period: March 20 (Mon) - April 7 (Fri), Monday - Friday, 10:00AM-12:00PM, 2:00PM-5:00PM 
(Please write your FULL name and JLPT level at the back of your photos)
・Test Date: July 2, 2017

*Please fill the entire form below to register for the JLPT, following the Test Guide <https://drive.google.com/file/d/0B6LWp7g83VVFWXlEblgyNGlVV1U/view>.
After submitting the form, a confirmation page will appear.
Kindly take note of the information regarding payment of registration fee.

[Important REMINDERS for GROUP application]
*Group application: 10 or more applicants paying as a group through a company / institution / representative / etc.
• Each applicant under the group MUST REGISTER ONLINE and must provide the name, e-mail, and tel. no. /mobile no. of the contact person / person in charge on the ONLINE APPLICATION FORM.
• The person in charge of the group application must then submit a list of the applicants (sorted by level) paying through the institution between February 1 – March 8, 2017 to jlpt@jfmo.org.ph (please refer to this link - http://tinyurl.com/ListofApplicantsforGroupApp - for the sample format of the list).
• Succeeding procedures will be sent to the provided e-mail address of the person in charge before March 20, 2017. Note: Should the person in charge fail to receive an e-mail, he/she must contact the JFM at # 8116155 to 58 / jlpt@jfmo.org.ph on March 21, 2017.

1. Test Level
Select the level of the JLPT you wish to register for.
2. Test Site
Select a city where you wish to take the JLPT. *Note: Test site cannot be changed after you submit the form.
3. FIRST NAME
WRITE YOUR FIRST NAME IN ENGLISH CAPITAL letters. e.g. JOSE This name will be printed on the “Certificate of Japanese - Language Proficiency”. *PLEASE do not use special characters(e.g. ñ, ö (umlaut)etc.).
Your answer
3-1. MIDDLE INITIAL
WRITE YOUR MIDDLE INITIAL IN ENGLISH CAPITAL letters. e.g. G. (for Gonzales) This name will be printed on the “Certificate of Japanese - Language Proficiency”. *PLEASE do not use special characters(e.g. ñ, ö (umlaut)etc.).
Your answer
3-2. FAMILY NAME
WRITE YOUR FAMILY NAME IN ENGLISH CAPITAL letters. e.g. SANTOS. This name will be printed on the “Certificate of Japanese - Language Proficiency”. *PLEASE do not use special characters(e.g. ñ, ö (umlaut)etc.).
Your answer
4. Gender
5-1. Year of Birth
Note : Please write in 4 -digits. e.g. 1995
Your answer
5-2. Birth Month
5-3. Birth Date
6. <8-digit> number passcode for Online Test Results Announcement
Please decide on an 8-digit number passcode to later look up test results online. Be sure to use ONLY NUMBERS, not letters. e.g. 75287654 *WRITE DOWN AND SAVE YOUR PASSCODE.
Your answer
7. Native Language
Select your native language and its code. If your native language is not on the choices below, refer test guide and enter its code. If you have two or more native languages, select only one.
8-1. COMPLETE MAILING ADDRESS: Room #, Floor #, Street/Suburb
Write the complete address where you wish to recieve your certificate in mail between 1. Aug to 4.Aug. e.g. 23F Pacific Star Building, Sen. Gil Puyat Avenue corner Makati Avenue
Your answer
8-2. City/State
Your answer
8-3. Country
8-4. Postal Code
Please look up (https://www.phlpost.gov.ph/zip-code-search.php) if you do not know your postal code.
Your answer
8-5. Mobile No. / Telephone No.
Your answer
8-6. E-mail Address
Confirmation E-mail will be sent to the address.
Your answer
9. Institution where you study/studied Japanese-Language
In the blank space, write the name of the institution where you are either currently studying Japanese language or where you have studied in the past.
Your answer
10. Place of learning Japanese
Select ONE item that describes where you are learning Japanese. Learning Japanese at....
11. Reason for taking this exam
Select ONE item that best describes your reason for taking this exam. I am taking JLPT because it is....
12. Occupation
Select ONE item that best describes your occupation.
13. Occupational details
*Question only for those who answered "5" in the question above. Select ONE item that applies to you the most. I...
14. Media via which you come into contact with Japanese language
Through which media do you listen or read Japanese outside of the class? Choose yes or no for the following items. If multiple items apply, check all of the items.
Yes
No
1 TV news program and documentaries
2 drama (excluding animation)
3 animation
4 newspapers and magazines (excluding manga)
5 books (excluding textbooks)
6 manga
7 articles on websites
8 other
9 only come into contact with Japanese language inside the class
15. How do you usually communicate in Japanese with your TEACHER?
Yes
No
Talk with the teacher
Listen to what the teacher says
Read what the teacher writes
Write to the teacher
16. How do you usually communicate in Japanese with your FRIENDS?
Yes
No
Talk with friends
Listen to what friends say
Read what friends write
Write to friends
17. How do you usually communicate in Japanese with your FAMILY?
Yes
No
Talk with the family
Listen to what the family says
Read what the family writes
Write to the family
18. How do you usually communicate in Japanese with your SUPERVISOR?
Yes
No
Talk with the supervisor
Listen to what thesupervisor says
Read what the supertvisor writes
Write to the supervisor
19. How do you usually communicate in Japanese with your COLLEAGUES?
Yes
No
Talk with colleagues
Listen to what colleagues say
Read what colleagues write
Write to colleagues
20. How do you usually communicate in Japanese with your CUSTOMERS?
Yes
No
Talk with customers
Listen to what customers say
Read what customers write
Write to customers
21~25. How many times have you taken JLPT?
How many times have you taken JLPT, excluding this time? Select the frrquency for each level. e.g. If you have taken N1 level 3 times, choose "3" besides question 21. *If you have taken one level more than 9 times, select 9.
0
1
2
3
4
5
6
7
8
9 or more
21. N1/ ex Level 1
22. N2/ ex Level 2
23. N3
24. N4/ ex Level 3
25. N5/ ex Level 4
26~30. Result of the last exam taken (Pass/Fail )
Select "Pass" or "Fail" or "None of the above" (in case you have not taken that level) regarding the last JLPT you took.
Pass
Fail
None of the above
26. N1/ ex Level 1
27. N2/ ex Level 2
28. N3
29. N4/ ex Level 3
30. N5/ ex Level
31. Are you paying your test fee as a GROUP (through your institution, school, company, etc.)?
32-1. [For group application only]Name of the Institution you are paying to:
If you answered "Yes - I will pay to MY GROUP" in question 31, please write down the name of the institution (name of school, company, etc.)
Your answer
32-2. [For group application only]Name of the contact person
If you answered "Yes - I will pay to MY GROUP" in question 31, please write down the name of the contact person
Your answer
32-3. [For group application only]E-mail Address of the contact person
If you answered "Yes - I will pay to MY GROUP" in question 31, please write down the E-mail Address of the contact person
Your answer
32-4. [For group application only]Telephone No. of the contact person
If you answered "Yes - I will pay to MY GROUP" in question 31, please write down the Telephone No. of the contact person
Your answer
33. Agreement
I, by submitting this form, understand and agree to all the conditions and contents of the Test Guide.
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