The Minister of Health, Welfare and Labor Approval (13-06-yu-007)
Lions Mansion 213, 1-29-6 Aobadai, Meguro-Ward, Tokyo
TEL 03-3792-3641 FAX 03-3792-2622

Registration Form

This system is for computers only.

First Name

Family Name

Date of Birth

（ex.: March 14, 1980）

Address

Phone

Mobile phone

Mobile e-mail

E-mail

Brief history


Working condition for which you hope

Area
Work hour
Pay
When to start

Experience

Experience of service creator
No 　　Yes

If you answer "Yes", please write the outline.

　　

Shunju-Service, Inc.