8th Hiroshima Summer School Registration form


Be sure to answer the questions marked with "* "
click "プライバシーポリシー" above to confirm our plivacy policy

click "内容確認" at the bottom of this webpage, when you fill out all the required forms.

If you want to rewrite these all, please click "書き直し" at the bottom.

Given name *
Family name *
Please fill out your name as in passport
Sex *
Date of birth *
(DD/MM/YYYY)
University *
School year *
Year of graduation *
Home address *
Phone number *
Mobile phone number
E-mail address *
Be sure to write down CORRECT e-mail address otherwise we cannot contact you
Passport number *
Date of issue *
(DD/MM/YYYY)
Date of expiry *
(DD/MM/YYYY)
Issuing country *
Visa Applicant *
Do you have to apply for visa in order to come to Hiroshima from your country?
Invitation Letter *
Do you need to have an invitation letter from us for a visa?
Meals *
Are there any food you cannot eat? Please check it.
Meals (details)
Please let us know what you cannot eat in detail and the reason (i.e. allergy, religional reason). If you need to fast during the summer school, please let us know the detail.
Allergy
If you have any allergy, please note specifically
Medication
Transportation *
What kind of transport will you use from your country to Hiroshima, Japan (your flight etc.)? How much does that cost roughly? Please let me know your plan so far.
Your NMO / IFMSA membership *
Your motive for joining this summer school *
Please write down more than 300 words. (Requirement)
What do you expect from this program?
How did you learn about this program?
Question
If you have any question, please write down.