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STS "Akogare" Sail Training Application Form

 

Name of applicant

 

 

 

Date of birth

  Age

M   /   F

 

Address

          

 

 

TEL                         FAX

 

Company or school to belong

 

 

TEL                         FAX

 

 

 

Name of guardian
Age under 18

 

 

 

 

 

Course to apply

 

 

 

First choice

 

 

Second choice

 

 

Third choice

 

 

 

Course that you joined before

 

Course No.