No.

Application form to confirm eligibility in advance for selection of

foreign students living in Tokyo
Please fill out this form in Japanese or English. (For the selection of 2024 enrollees)
Do not write anything in the bold-framed box on the right. Entry date: MM, DD, YYYY
Furigana Language
Applicant's name

Nationality
Date of birth: years old
(as of March 31, 2024)

Furigana ※来場者
Father
Parents' names
Furigana 志願者との関係
Mother
父 ・ 母（ ）

Current address 〒 -

Telephone
number ℡( )-( )-( )

Reference for
further information Name
regarding
eligibility
examination Relationship

* Fill this out if the

guardian(s) cannot
communicate in Phone number
Japanese.

Will graduate by March of

Graduated
2024
Eligibility to apply
for selection as a Junior high school
foreign student
living in Tokyo
Non-Japanese junior high school
* Please draw a circle in Japan
in the applicable field.
Nine-year course of education
abroad
Documents to be submitted (Please submit all documents indicated by circles (〇).
Student Documents indicating the
Passport or
School graduation expected date of Certificate of residence Other
residence card
status graduation
Student's
handbook
Will graduate ― 〇 ―
Within (seito
Junior Tokyo techo)
high Graduated 〇 〇 〇 ―
school Will graduate 〇 〇 〇 ―
Outside of
Tokyo
Graduated 〇 〇 〇 ―
Non-Japanese junior
Will graduate 〇 ― 〇 ―
high school in Japan
Nine year course of
Graduated 〇 ― 〇 ―
education abroad
 No.

Institution
School year Year
(school name and location)

Elementary
school 1

Elementary
school 2

Elementary
school 3

Elementary
school ４

Elementary
school 5

Elementary
school 6

Junior high
school 1

Junior high
school 2

Junior high
school 3

Other

Japanese-language proficiency level

(1) Please indicate your level of Japanese-language proficiency by drawing a circle (〇) in the applicable
fields.
Yes No Not sure

Can you write all the hiragana and katakana?

Can you converse in Japanese?

Can you understand school classes in Japanese?

(2) Please tell us any languages you can use other than Japanese.