Application for positions for international applicants

  • STEP1Fill out the application form
  • STEP2Confirm information
  • STEP3Completion of application

Please read the privacy policy carefully before filling out this form.
Please call us if you have any difficulty in filling out the form. Tel: 0120-987-066
It could take a couple of days to reply by e-mail, so please call us if you are in a hurry.

Desired retirement homeRequired

※ If you would like to choose multiple retirement homes, please write the desired retirement home names in the space for "Questions or inquiries" below.

Full NameRequired
Japanese pronunciation
written in katakana
Date of birthRequired

e.g., 1945 Year 1 Month 1 Date

Postal codeRequired

※ Please input half-width numbers

※ No hyphen necessary

  • Prefecture

  • Cities, wards,towns, villages and house numbers

  • Building name and room number, etc.

Phone number
(Half-width numbers)Required

※ Please input half-width numbers

※ No hyphen necessary

E-mail address
(Half-width English alphanumeric characters)Required


※ Please input half-width English alphanumeric characters

Obtained qualificationsRequired
Questions or inquiriesOptional