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  Name  *Mandatory*  
*Please insert a space between first name and last name.

  E-mail address  *Mandatory*  

  Country you live  *Mandatory*  

  Nationality  *Optional*  

  Occupation  *Mandatory*  
Worker 4 year undergraduate student 1-3 year undergraduate student Other
---Only for current students of Kwansei Gakuin University（Mandatory for KGU students）
【Name of department】

  How did you get to know about this Information Session?  *Multiple answers allowed*  
KGU website IBA website Kwansei Gakuin's Portal Site KWIC Advertisement（Facebook etc.） JPSS Word of mouth Acquaintance Other