ADMISSSION FORM

JLPT PREPARATION COURSES

Admission date: 20…… SURNAME : ……............ Name : ……………

Nationality : ……….......... Age : …….years old

Date of birth : ………….... Male Female Home adress: …………………………...................................................

................……................................................................ Phone number: ………………........ Mobile Phone :............................

e-mail: …………………………………

CURRENT JAPANESE LEVEL Hours / years of learning : …………… How often per weeks ? : …………… - Where did you learn Japanese ?

........................................................................................................................... Hiragana Read Written Katakana Read Written

Kanji characters : How much can you read/write ? ………

- Why do you want to learn Japanese language ?

- Did you take the JLPT before ?

Course you want to join Regular N2 Intensive N3 Intensive N4