Student Details CJIC – Cakap Jepun Online Academy

Complete your registration by filling out the student information form below

Student Details SWJ 2024

PERSONAL BACKGROUND

Full Name (as in IC)

Identification Card No

Date of Birth

Phone No

Gender

marital Status

Occupation

Income

Home Address

Address Line 1

Address Line 2

City

State

Postcode

Country

Current Address

Address Line 1

Address Line 2

City

State

Postcode

Country

EDUCATION BACKGROUND

Primary School Name

Primary School Address

Primary School Start

Primary School Graduate

Secondary School Name

Secondary School Address

Secondary School Start

Secondary School Graduate

Junior College Name

Junior College Address

Junior College Start

Junior College Graduate

University Name

University Address

University Start

University Graduate

Other Education

Other Education Address

JAPANESE LANGUAGE EXPERIENCE

Language School / Institute Name

Course/Class Name

Course Length

Japanese Course Start

Japanese Course Graduate

JAPANESE LANGUAGE PROFICIENCY TEST (JLPT)

JLPT Level

JLPT Result

Date Taken

Work Experience

Company 1 Name

Position 1

Company 1 Start

Company 1 End

Company 2 Name

Position 2

Company 2 Start

Company 2 End

Next of Kin / Guardian

Please share information related to your next of kin/guardian for us to deal with in the event of any emergency while in Malaysia or Japan.

Next of Kin / Guardian's Name

Next of Kin / Guardian's Email

Relation

Next of Kin / Guardian's Telephone No

Study Work in Japan

Purpose of Enrollment

Study in Japan

Work in Japan

Intensive Class Only

Which intake would you like to enroll in?

Which school location are you interested to enroll in?

Fukuoka

Tokyo

Nagoya

Other

If you choose other, please state your desired school location

How much savings do you currently have to allocate for the expenses?

what is your plan after completing your study?

If you choose other, please state

Complete your registration by filling out the student information form below

PERSONAL BACKGROUND

EDUCATION BACKGROUND

JAPANESE LANGUAGE EXPERIENCE

JAPANESE LANGUAGE PROFICIENCY TEST (JLPT)

Work Experience

Next of Kin / Guardian

Study Work in Japan

Programme Courses

Shop

Company

Complete your registration by filling out the student information form below

PERSONAL BACKGROUND

EDUCATION BACKGROUND

JAPANESE LANGUAGE EXPERIENCE

JAPANESE LANGUAGE PROFICIENCY TEST (JLPT)

Work Experience

Next of Kin / Guardian

Study Work in Japan

Programme Courses

Shop

Company

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