Please fill out the following application and submit.
Name of Applicant: Nationality: Status: JICA YokohamaJICA TokyoStudentResident in JapanTouristOther Please indicate the university you attend, if you are a student. Address in Japan: (Please fill in the address including the apartment name or room number for insurance application) Where you are staying (Name and address of the hotel), if you are a tourist: Age: Mobile phone No. or other means of immediate contact: E-Mail Address: Emergency Contact Name: Mobile phone No. or other means of immediate contact: Address: Accompanying child if any: Name: Age: Information or special request, if any: I have read and agree to the TERMS AND CONDITIONS OF THE TOUR. You must provide your signature at registration on the day of the tour to confirm your agreement to the TERMS AND CONDITIONS OF THE TOUR. I take full responsibility for the care, control, and supervision of the above accompanying child during the entire period of the tour.
