Weekly Apartment Application


The personal information collected from the following application form should be used only for the management of the application.

Applicants from Chinese character using countries should write in Chinese as well.
Applicants from Chinese character using countries should write in Chinese as well

As I start my apartment stay I agree to the following conditions:



I would like to apply for an apartment stay during:




Notes:

cf.Courses page


Name:
*Input required.
male female
*Input required.

Upload your facial portrait photo.

*Not required in case your photo is uploaded already with New Student Application Form or Previous Student Application Form. 2 photos are requested while send by postal mail.


Date of Birth:

Nationality:

Current Mailing Address (Include street, city, postal code, and country):

Phone Number:

Fax Number:

E-mail Address:
*Input required.

Re-type E-mail Address:
*Input required.

In the event of an emergency, please provide us with your parent's (or other) names, address, and phone number:

Arrival date and time:
Departure date and time:

Room type:

I would like a room with a Futon.
I would like a room with a refrigerator.
I would like a room with Internet.



Applicants from Chinese character using countries should write in Chinese as well.
Applicants from Chinese character using countries should write in Chinese as well

Please be sure to click the submit button once after filling in the form and send the appropriate application fee and a photo to SIL.
If you have trouble emailing this application, print it out and mail to SIL with your application fee.


SIL Sapporo Nihongo Gakko
Director & Instructor Ms. Harumi Shima
Renseikai Group Honbu Building,
6-1 Nishi 5 chome
Kita 8 jo, Kita ku, Sapporo
JAPAN 060-0808
Tel: 81-011-551-2759
E-mail: info@silnihongo.com