APPLICATION
Please fill out the application as completely as possible. The more we know about you, the better we will be able to serve you.

Name : Title:
First :    
Family :
Date of birth : Month:
Day:      
Year:   
Current address :
Cell phone :
Telephone :
E-mail :
E-mail (Retype) :
Monthly Rent Budget : yen
Desired Move-in Timing:
 Month:
Year:  
Rental length : Months:
Years:
Number of occupants:
Desired Apartment Size : Under 20㎡　 Over 20㎡
Furnishings : Furnished 　 Unfurnished
Pick  your highest priority-
Visa status :  other :
Nationality :
Employment/School/Others
Note: We do not require a guarantor,
instead, we verify your employment  or
student status. This section must be
completed or we will not be able to
process your application.
Name :
Address :
Tel :
Employed/studying in Japan since :  Month:  Year:  
Monthly Income:
 yen
Reference :  
Name :
RefTel :
How did you find us?  other :
Message : Please indicate in the box below which apartments you are
                    interested in, any special requirements not covered above,
                    and any other questions you might have.
Please enter the anti-spam code shown to the left:
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