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[junior 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 [10,000 yen] 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]
 From Friday, December 1, 2023 to Monday, December 11
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 name ※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 name ※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 Elementary School
Examination method (1) ※required
※ Type of the examination
Examination method (2) ※required
※ Please choose all the models to take an exam.
Examination method (3)
※ Only as for the person taking an entrance examination for both of 12/16 and 1/5
Reason to wish to join our school ※required

※ Within around 250 characters
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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