Shinjuku Apartment (in Akebonobashi, Kitashinjuku, Kagurazaka, Ushigome-Yanagicho, etc)
 For long term
About Yourself
  Name:
Are you in Japan now?
  Moving in Date/Time :
  Moving out Date:
  Nationality:
  Referred by:
Number of resident:
Number of rooms:
Passport
  visa status tourist
  Valid until:
Home Country
  Address in home country:
  Telephone:
  Email:
In Japan
  Your purpose to stay
in Japan:
Your school or work
in Japan:
Your school or work address
in Japan:
Additional information
  Do you/your company smoke?

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