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[high school entrance examination] The Internet application

(1)Please input the item of "it is essential ※" into all.
 ※ As I send input contents by an email after the application completion, please confirm it.
(2) Please deliver an examination fee at the reception desk of examination daily allowance day.
(3) I hand the admission ticket to an examination at a reception desk on examination daily allowance day.
(4) After the application completion, "inquiry number" (14 digits) is issued.
  After the next day of the day when I applied, I can confirm the application completion on a homepage.
[application period] The Internet application
 Friday, December 1, 2023 - Saturday, January 6, 2024
 (attention) When it is mailed, it must arrive by Saturday, January 6, 2024.
 (attention) When is brought by our school window, from Thursday, January 4, 2024 to 6th Saturday.
Photograph ※required

(1)The front direction, the upper body
(2)I photographed it recently within three months
(3)Black and white, both colors are enough
(4)The size is 2MB or less
Applicant ※required

※ An example: Dawn field star child
Furigana ※required

※ An example: akenohoshiko
The date of birth ※required
/ /   
The present address (applicant) ※required

※ An example: 〒 721-8545
   3-4-1, Nishifukatsucho, Fukuyama-shi, Hiroshima
Protector ※required
Furigana ※required
Phone number ※required

※ An example: 084-922-1682
The present address [protector]

※ Documents destination
※ Please input only when you are different from the present address [applicant].
Native place school ※required

※ An example: 0 0 ritsu 0 0 Junior High School
Native place school ※required
Examination method ※required
Reason to wish to join our school

※ Around 250 characters
※ Only as for the recommendation entrance examination [applying to more than one school], the applicant of the general entrance examination [sengan, applying to more than one school].
 The applicant of the recommendation entrance examination [sengan], please fill out "a recommendation book".
E-mail address ※required

※ For confirmation, please reinput it.
※ Look at lower <about an e-mail address>.
<about an e-mail address>
(1) As you use it when you do the news about the entrance examination, please input a receivable e-mail address by yourself.
(2) Please set it so that an E-mail from "" receives it.
※ The reception setting method of the email of each carrier is this.
※ I do not use the information that I obtained with this request form other than the management of the entrance examination.
  Please see this about the privacy policy of our school.
Institute of educational foundation Fukuyama Akenohoshi
3-4-1, Nishifukatsucho, Fukuyama-shi, Hiroshima
TEL.084-922-1682 (academy direct communication)
FAX.084-925-1533 (academy direct communication)
※ About the individual inquiry
I would like it at the following.
(junior high school, high school)
(elementary school)
(nursery school)
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