certificate

Online 150-Hour Course

A project by the Agency for Cultural Affairs of Japanese Government with SHJ Language School

1. Name

2. Email

3. Date of Birth (Day/Mon/Year)

4. Name for certificate

5. Photo for certificate

Yes, I would like to have my photo on certificate. No, I do not need it on certificate.

6. Photo upload :for iOS users. You can not upload the one on photo library by iOS. Please send us your photo by email If there are any problems.

7. If you have any other messege to us, please describe in below form in your own language, English or Japanese.

8. We would like to use the photo, video and comments of the lessons for public relations if possible.

Yes, you can use them. No, I do not want you to use them.

After you submit the form, you get the mail for confirmation automaticaly.