Those who are considering obtaining a license

Online Application

Enter each item and press the [Confirm] button.
* Items marked with are required fields.

Online Application Form

Preferred Training Course*
Preferred Type of License *
Preferred Date of Admission * 　 　,
Payment Method *
Name * Last Name：　
First Name：
E-mail address *
Age
Birthdate * 　 　, 　
Gender
Address * 〒 -
Telephone No.*　
例）123-456-7890
Cellphone No.　　　
例）123-456-7890
Occupation *
School Name
School Year
Owned license type
(Please answer all the licenses you have)*
License disposal date
(People who have had their license revoked or unlicensed)
Message field
(Please enter the names of those who will be entering the school at the same time and if there is a desired time for contacting us.)