Application Form


Your Name (required)

Your Name with KATAKANA (required)

Your Email (required)

Course (required)

Preferred training date

Lessons in the department(General subjects or for PWC)

Lessons in the department(Advanced subjects)

Practical Lessons(Boat or PWC)

Training venue (required)

Examination (required)

Boat's operator's license you haveNO:

Date of Birth(required) Age

Sex

Nationality(required)

Postal code(Seven digits)

Address(Japanese,automatic input)

Address1(English)

Address2

PhoneMobile phone

Payment of expenses

Your Message