The student visa is only available from April and October of each year. If you have not read the visa information section yet, please click here.

Whenever you write a calendar date - please write the year first, then the month, then the day. For Example: if you want to write 2000/DECEMBER/21 then write it as 00/12/21 - if you do not then the form will not transfer into the database correctly.

If an error occurs during the transfer, please contact Mr Declan Murphy at admissions@yamasa.org

Personal Information

Name in full
Nationality: (If dual nationality, indicate the country of the passport you plan to enter Japan on.)
Sex		Male Female
Date of birth: (Example: if 1969/OCTOBER/04 then write 1969/10/04)
Place of Birth
Marital Status
Highest level of education COMPLETED
If other please state:

Home (or mailing) address (IN FULL) - Street address:
City / Town:
State / Prefecture:		(If not applicable, please write N/A)
Postal code / ZIP:		(If not applicable, please write N/A)
Country:
Address in Japan (IN FULL) - Street address: (If you don't have an address in Japan, leave this blank and skip to next section.)
City / Town:
Prefecture:
Postal code:
Country:		Japan
Where do you want the Visa Kit sent to?:
Email Address		(enter details of at least one means of contact)
Telephone Number
Fax number
Passport number. (If you don't have a passport yet, please email it to us later.)
Passport Valid Until:(Example: if 2002/OCTOBER/31 then write 2002/10/31)

Course Information

Name of the Yamasa Program you want to enrol in:		(Please use our brochures/online catalog to confirm program name if you are not sure.)
Which student visa do you want to apply for ?		Apr 2011 Oct 2011
At this stage, for how many months are you thinking you will study Japanese at Yamasa?
Have you been to Japan before?		Yes No
Total number of visits:
Total length of stays in Japan:		(an approximation is OK)
Visa status on previous visit(s):		Tourist Trainee Working holiday College student Employment Other Dependent spouse Pre-college student (Tick one or more)
Do you have any family in Japan?		Yes No
If Yes please give details:
Have you formally studied Japanese before?		Yes No
Where did you study Japanese?
What texts/materials did you study?
Approximately how many hours of class contact hours did you receive?
What are your main reasons for studying Japanese:

(Please note that if this box is not checked this application cannot be sent)
I confirm that I have read, fully understand and agree with the Yamasa Institute's terms of service, refund and privacy policies as published on yamasa.org .
If you need further information about these please contact admissions@yamasa.org.

C O M M U N I T Y M E M B E R S
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Hattori Foundation (est.1919) - The Yamasa Institute
1-2-1 Hanehigashi-machi, Okazaki City, Aichi Prefecture, JAPAN 444-0832
Tel: +81 (0)564 55 8111 Fax: +81 (0)564 55 8113 Email: Click Here