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  • Before You Apply

Application FormShould you have any questions or concerns,
please contact Customer Center.

indicates required fields.

Name

※Name in English is a required field.

  • Please enter in "Alphabets".
Name in English
Name in Japanese Katakana
Name in Chinese character (If applicable)

Contact Information

  • Please enter "Address".
  • Please enter "Phone Number".
  • Please enter "E-mail Address".
Address
TEL
E-Mail

Sex

Please select "Gender".

Date of Birth & Age

  • Please enter "Date of Birth".
  • Please enter "Age".
Year
Month
Day
Age

Nationality

  • Please enter "Nationality".

Name of School in Japan

※Name of school is a required field.

  • Please enter "School Name".
School Name
Faculty / Department / Section

Name of the Dormitory You Apply For

  • Please enter "Dormitory Name to Apply".

Japanese Conversation Level

  • Please select "Japanese Conversation Level".

Languages You Can Speak

Contract Start Date

  • Please enter "Contract Start Date".
Year
Month
Day

Contract End Date

  • Please enter "Contract End Date".
  • If the contract end date is at least 1 month (or 28 days or more) or 1 year 2 months or more, you can not apply.
Year
Month
Day

All residents are under the obligation to have the fire insurance(3,000yen/year).
It will be billed as building maintenance fee.

Contract end date is fixed on the 24th of each month.

Application for Rental Bedding / TV / Fridge

※If you do not wish to rent anything, please check "No, I don't need any rental items."

  • Please select bedding / home appliances you want to apply or check "Do not apply".
Leasing period
01Month
02Months
03Months
04Months
05Months
06Months
07Months
08Months
09Months
10Months
11Months
12Months
Bedding 7-Piece Set
TV
2-Door Fridge

Bedding 7-Piece Set

TV

2-Door Fridge

Sheets, comforter cover and pillow can be changed 3 times a month for free.

Cancellation of rental items is possible at a charge of 2,000yen by the day before the contract start date. But after that period, no rental fee is refundable.

Change fee of 1,000Yen per change will be charged in case you change the contract period.

Cancellation Charge

From 1 month to 15 days prior to the contract start date
Private room 25,000yen / Shared room 15,000yen
From 14 days to 1 day prior to the contract start date
Private room 50,000yen / Shared room 30,000yen
After the contract start date
The total amount of the first bill.

備考