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Visiting a company reservation form

When you inquire it, sorry for your inconvenience, but please push the button to "a confirmation screen" after filling out the requirements in the following forms.
・※As the item of the seal becomes the required item, please input by all means.
Entry desired ※required
The name ※required
Furigana ※required
Phone number [1]  ※required
Example) 012-345-6789 ※A cell-phone is possible
E-mail address ※required
School name/last educational background ※required
Department, subject ※required
The graduation year
Year (the Christian era)
Graduating
[the present address]
Zip code
Address [1] ※required
Please choose the metropolis and districts
Address [2] ※required
[addresses except the above of homecoming]
Phone number [2]
Zip code [2]
Address [3]
Please choose the metropolis and districts
Address [4]
The visit date and time desired
A day: From Monday to Friday (except the holiday)
The morning: 9:30-11:30
The afternoon: 13:30-15:30
The first hope day ※required
Example) zeroth year of the Reiwa era 0 0 days a month 0 day
The first time desired ※required
The second hope day ※required
The second time desired ※required
The third hope day ※required
The third time desired ※required
Self-PR, question ※required
下記の「個人情報保護方針」を必ずお読みいただき、ご同意の上、確認画面へお進みください。
※The information that had you input is information necessary to contact you from us.
I offer these information to the third parties and do not do that I handle it other than the use of purpose at all.
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