This form is for ALL students who have been approved to Meiji Academy. Please make sure to fill out all fields, if possible. We will send you an email as a confirmation within 48 hours on weekdays. In case you do not get a reply, please contact us directly via email at info at meijiacademy.

Basic Information

Full Name

In Kanji (If you have one)

Date of Birth

Gender *

Nationality *

Occupation *

Languages Spoken *

Passport Details

Passport No. *

Issuing Authority *

Date of Issue

Date of Expiry

Please upload your Passport ID (photo double page) *

Contact Information

Address Home Country

Emergency Contact

Japanese Language Level

Q1. I can read/write *

Q2. My spoken Japanese Level *

Non Existent


Q3. My written Japanese Level *

Non Existent


1 = Zero, 2 = Basic Knowledge, 3 = Intermediate, 4 = Advanced Stage, 5 = Close to Native Level

Q4. How many Kanjis can you read / write? (If you haven’t studied Kanjis, enter “0”) *

Q5. Have you taken and passed the JLPT? *

If you haven’t studied Japanese ever before, please skip the next questions and continue at the next section. (Medical Conditions)

P.S.: Japanese Beginners are our specialty, so no worries 🙂

Q6. Where did you study Japanese? (You can choose multiple)

(ex:Meiji Academy)
(ex:Japanese Friends)

Q7. How many hours did you study Japanese?

Q8. Which textbooks did you use?

Medical Conditions *

Please do let us know if you have any special conditions. We will try our best to help you.

Anything you would like to mention?