Registration Form
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Português
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English
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Español
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日本語
Personal Infomation
E-mail
Phone number
Name
Gender
Male
Female
Birthday
Age
Marital Status
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Single
Married with family in Japan
Married with family outside of Japan
Divorced
Citizenship
Total time lived in Japan
Photo
Image of Documents (Front)
Image of Documents (Verse)
Address
Zip Code
Province
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Aichi-ken
Akita-ken
Amori-ken
Chiba-ken
Ehime-ken
Fukui-ken
Fukuoka-ken
Fukushima-ken
Gifu-ken
Gunma-ken
Hiroshima-ken
Hokkaido
Hyogo-ken
Ibaraki-ken
Ishikawa-ken
Iwate-ken
Kagawa-ken
Kagoshima-ken
Kanagawa-ken
Kyoto-fu
Kochi-ken
Kumamato-ken
Mie-ken
Miyagi-ken
Nagano-ken
Nagasaki-ken
Nara-ken
Niigata-ken
Oita-ken
Okayama-ken
Okinawa-ken
Osaka-fu
Saga-ken
Saitama-ken
Shiga-ken
Shimane-ken
Shizuoka-ken
Tochigi-ken
Tokushima-ken
Tokyo-to
Tottori-ken
Toyama-ken
Wakayama-ken
Yamagata-ken
Yamaguchi-ken
Yamanashi-ken
City
Complement
Japanese Language
Level of knowledge of the Japanese language
No knowledge
Basic
Intermediate
Advanced
Fluent
Education and Qualifications
Education
Incomplete Elementary School
Complete Elementary School
Incomplete High school
Complete High School
Incomplete College/Graduate School
Complete College/Graduate School
Qualifications
Driving License
Other Qualifications
Measurements
Height
Peso
Shoe Size
Writing Style
Right-Handed
Left-Handed
Do you wear glasses?
Yes
No
Blood Type
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Do not know
A
B
O
AB
Do you have any allergies or illnesses?
About the Work
Are you currently employed?
Yes
No
Can you live in another location?
Yes
No
Desired shifts
Day
Night
Alternate
Can you work overtime?
Yes
No
Work Experience
Your Experiences
Food Processing
Supply
Deburring
Plating
Packing (Kompo)
Masking (Masking)
Helper
Inspection (Kensa)
Carpenter (Daiku)
Assembly (Kumitate)
Truck Driver
Forklift Driver
Sling / Crane
Molding Machine Operator
Press Operator
Lathe operator
Painting
Polish
Picking
Welding
Spot Welding
Other experiences
The most recent factory where you worked
Factory’s name
Occupation Type
Start Date
End Date
The second most recent factory where you worked
Factory’s name
Occupation Type
Start Date
End Date
The third most recent factory where you worked
Factory’s name
Occupation Type
Start Date
End Date
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