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Name of the applicant* (Human Taro) |
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Name* (Human Taro) |
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Gender |
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Postal code (160-0023 or 1600023) |
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Country* (Japan) |
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Address* (7-8-10 Nishishinjyuku, City Shinjyuku, Tokyo) |
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Building (Nishi Shinjyuku Kimuraya Bld.1F) |
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Phone number* (0300001111) |
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*Enter between 7 to 15 digits.
*Please enter only hyphen and single-byte numeric value.
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E-mail address(PC or mobile)* (info@athuman.com) |
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Campus at which you would like* |
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*If you wish to attend the Yokohama campus, please fill in the 'Items and questions or requests' section. |
Is the applicant residing in Japan?* |
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Relationship between applicant* |
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Nationality of applicant* (Japanese) |
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Start year* |
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Start month* |
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Time period* |
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(Required item) For users who are nationals of European Union (EU) member states Do you give your approval to the personal information that you have inputted being sent outside EU member states (i.e., to Japan)?* |
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(Required item) For users who are nationals of EU member states or of Iceland, Liechtenstein or Norway
Do you give your approval to the personal information that you have inputted being sent outside the European Economic Area (EEA) (i.e., to Japan)?
By placing a check against “Yes” in this field, you are considered to be giving your consent to your personal data being transferred outside the EEA.
This means that, based on your consent, the data in question may be transferred to countries for which the European Commission has not reached a full and complete decision regarding the protection of personal data in the countries in question.
Human Academy Co., Ltd. will protect all personal data, regardless of the country to which it is sent.
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