Contact Us

Contact Us

Input > Confirm > Submit

*indicates required field (Please provide in Japanese)

Name* Last Name: First Name:
Gender Male Female
Phone Number* --
E-mail Address*

 Retype
Mailing Address* Zip/Postal Code- Prefecture/State:


※Name of Residence, Street Address, City/Town
Date of Birth Month Day year
Your current grade/occupation
Questions or Comments*

Magical Form0.96

  • Department of Digital Creator
  • Department of Information Processing System
  • Department of IT Specialist
  • Department of Web Specialist
  • Department of IT Busines
facebook
twitter
Nihon Riko Institute of Technology
Nihon Medical Institute of Welfare