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Application Shomeisho e
Application Shomeisho e
Month
Day
Date
Year
Month
Day
For those who took the test in 2009 or earlier; Registration number Test level Level 1 Level 2 Level 3 Level 4 Circle one
For those who took the test in 2010 and after; Registration number Test level Test location N Country N2 N3 N4 City N5 Circle one
Mailing address
If this address is outside of Japan, please use Roman alphabet Zip/Postal code Country
Telephone number E-mail address Remarks If you do not remember your registration number, please be sure to fill in Test year, Test level, and Test location. Please fax a photocopy of your proof of identification (copy of your passport is preferred) along with this application. If the name on your proof of identification is written in Kanji , be sure to write your name both in