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Name (Alphabetical Spelling)※
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Name (Katakana)
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E-mail Address※
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Phone Number
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Gender
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MaleFemalePrefer not to say
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Name of Event
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Date of Event
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Level of Japanese Proficiency
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I have no difficulty doing business/studying at school in JapaneseI can hold daily conversations in JapaneseI often have difficulty conveying what I want to say in JapaneseI do not understand Japanese
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I would like to receive updates on JII’s activities.
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YesNo
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