Individual, Student Membership
Application Form Input

The application form is also available on PDF.
Kindly fill the form and send it by FAX or post to our office.

Individual Membership Application Form (PDF)

Please complete all fields indicated with "" icon.

Personal Information

Name

Occupation

Date of birth

The Field of my interest

Application Details

Membership Type

Student Individual

Units

Unit(s)

Transfer(ed) account

Postal Transfer No.00170-5-659023 Mizuho Bank Yaesuguchi Branch Ordinary Deposit No.1007495 MUFG Bank Yaesu Dori Branch Ordinary Deposit No.1120452 Sumitomo Mitsui Banking Corporation Tokyo Chuo Branch Ordinary Deposit No.7422337

Date of transfer(ed)

Contact Information

Telephone

Fax

E-mail Address

Address in Japan where to make contact surely

Postal/Zip Code

Prefecture

City

Address line 1

Address line 2

I accept.

What is personal data?
The personal data refers to such information as name, residential address, phone and Fax numbers, E-mail address etc., which are collected through the Site from our members or customers.

Basic policy on the protection of personal data
We may ask you to provide us with your personal data when you seek to join us as a member or on any other occasion for the due management of our Association.
The offer of your peronal data is on voluntary basis. If you agree to provide us with your personal data, we consider that you agree to the policy above-mentioned. If you do not agree to it, please do not offer us any personal data.
The personal data is required when you use some of servisies of the Site.
We will not disclose, use or share your personal data with anyone without your consent.

The purpose of collection and use of personal data
We collect and use the data you provide to duly manage the membership.