Nice to meet you Recruit.
Date of Birth
Full Address (Mailling Address, City, Country)
Name of Current Employer
City / Province
What is your height? ( cm )
What is your weight? ( Kg )
Do you have any disabilities/conditions to indicate?
HearingLearning DifficultiesMobilitySpeechVisionColor BlindnessTattoosPiercings
Are you currently in good health?
Are you on any medications or regular medical treatments?
Have you been diagnosed with any medical conditions?
If so, what was the diagnosis/diagnoses?
I declare that all the answers to this application are complete and accurate to the best of my knowledge including the information on my academic background. I have been informed on the regulations of admittance to the Academy and on the tuition fee. I am prepared to timely cover the expenses of qualifying to work in Japan. I am warned that failure to report all the complete and accurate information will invalidate my application and my result in invalidity of a work contract obtained if admitted.
SO : 2/1695/HK.13/XII/2020P3MI : 22072300955250001
Jl. A.A Gede Rai, Lodtunduh, Ubud, Bali, Indonesia
Office : +62 361 908 7669Mobile : +62 813 9242 7513Email : firstname.lastname@example.org
SO : 2/1695/HK.13/XII/2020
P3MI : 22072300955250001