Registration Form (STEP1)
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The Pioneer of Talents' Introduction ! Reliable And Safety Consulting ! We tackle your case with consideration.
　 Please, register, after agreeing with our Privacy Policy. 　 　
Tel : 03-5493-4208
Fax : 03-5493-4210
 　
STEP1 : Filling out → STEP2 : Confirmation of the contents → STEP3 : Conclusion of application


　

Registration Form (STEP1)

Please, fill out the following form to make an application.
Please, be certain to fill out the items marked with "*".


▼Section of personal information
Name* ( Example : George Washington )
Date of birth/Age* Born on (day) (month) (year) / years old
Sex* male ｜ female
Portrait
(GIF,JPG,PNG image. Within 100KB in maximum.)
(Please, leave it blank, unless you have a suitable portrait.)
Present address* Postal code number : -
Country :
Address except the country name :
Phone number* Phone number :
Cellular phone :
（*Please, be sure to fill out either phone or cellular number. ）

FAX number :
（For only the one who have a fax machine.）
Contact address except the present one
(Please, fill out contact address, including postal code and phone number for only the case you want to have a contact in a place except the present one above.)
E-mail address*
（For affirmation.）
(Please, be careful not to enter a wrong address.)
Website
(If you don't mind, tell us the URL, when you set up your own website.)
▼Section of self-introduction
Self-summary*
(Within 2000 half-width character)
Work career
(Within 1000 half-width character)
Hobby, special skill, favorite subject etc.
(Within 2000 half-width character)
▼Desired working conditions, and others
Commuting time Within around hour minutes
Personal requirements Occupation category* :
Location of employment :
Business hours :
Desired annual income*
Spouse* yes ｜ no
Family dependent*
▼Section of school career and business experience
School career and business experience* month year
month year
month year
month year
month year
month year
month year
month year
month year
month year
month year
month year
▼Section of license and qualification
License and qualification month year
month year
month year
month year
month year
month year


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