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Application Form

Complete the form below to start your journey with Local Life Japan! We’ll get back to you within 48 hours.

Family Name
Given Name
Nationality
E-mail
Visa Type
Message

※If you have any questions or needs assistance, don’t hesitate to contact us via email or WhatsApp. Our team is here to help!

Course Name
Course Start Date
Course End Date
Current Japanese Level
Can you read hiragana and katakana?
Do you require Airport Pickup?
※Airport Pickup is 29,000 yen one way.
Do you want us to book your accommodation?
Check-in Date
Check-out Date
Emergency Phone Number

※If you’re having trouble submitting the form, don’t hesitate to contact us via email or WhatsApp. Our team is here to help!