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Registration Form

FICHA DE CADASTRO ・ REGISTRATION FORM

● Thank you very much for registering with our company.
After checking the registration form, our staff will contact you.

We ask for your patience for a little while longer.

● Obrigado por se registrar conosco!
Após verificarmos o formulario de cadastro,

entraremos em contato com você em breve.

● Thank you for registering with us!
After reviewing the registration form, we will contact you shortly.

Nome Completo・Full Name

Incluindo codigo postal e nome do apartamento・

Including postal code and apartment name

Date of birth
Month
Day
Year

Ano, Mês, Dia・Year, Month, Day

Age

Age
Gender
Male
Woman・Feminino・Female

please select

Telephone number

Emergency phone number・Contato de emergência・Emergency contact

Foreign nationals

Residence status (foreign nationals only)・Tipo de visto・Type of visa
Period of stay (foreign nationals only)・Visa validity date・Visa expiry date
Month
Day
Year

Ano, Mês, Dia・Year, Month, Day

Period of residence in Japan (foreign nationals only)

・Quantos anos morando no Japão? ・How many years living in Japan?

Length of stay in Japan (foreign nationals only)・How many years have you lived in Japan?・How many years have you lived in Japan?
Japanese conversation (for foreigners only)
Reading and Writing (Foreigners Only)

Multiple selections allowed

●Work experience

Are you currently employed? ・Are you currently employed?
Yes・Sim・Yes
No

please select

*Please fill in the prefecture name, company name, employment period, and work details in the fields below.

・A continuação escreva a cidade, empresa, período de trabalho e tipo de trabalho

・Write the city, company, work period, and type of work


・Example: Suzuki, Kosai City, Shizuoka Prefecture. 3 years. Assembly and inspection of automobile parts as a temporary employee.

・Exemplo: Suzuki, Kosai-Shizuoka, trabalhei como funcionário temporário por 3 anos,montando e inspecionando autopeças.

・Example: Suzuki, Kosai-Shizuoka, worked as a temporary employee for 3 years, assembling and inspecting automobile parts.

Receiving unemployment insurance
Yes・Sim・Yes
No

please select

●Licenses/Qualifications Habilitação/Licenses

Driver's license
有・Tenho・I Have
No・Não tenho・Don't have

please select

Multiple selections allowed

Multiple selections allowed

●Others・Outros・Others

Available working hours

・Available working hours

Multiple selections allowed

About working on weekends and holidays

・Trabalhar aos sábados, domingos e feriados

・Working on Saturdays, Sundays, and holidays

Working on Saturdays, Sundays, and holidays・Working on Saturdays, Sundays, and holidays

Multiple selections allowed

Overtime work

・Fazer horas extras・Overtime work

Overtime work・Fazer horas extras・Overtime work
Posso・I can
不可・Não posso・I can't

please select

spouse

・Cônjuge・Spouse

Spouse・Cônjuge・Spouse
有・Tenho・I Have
No・Não tenho・Don't have

please select

Do you have children?

・Tem filhos・Have childrens

Do you have children?
有・Tenho・I Have
No・Não tenho・Don't have

please select

Glasses or contact lenses used

・Using glasses or contact lenses?

Using glasses or contact lenses?
Yes・Sim・Yes
No

please select

health status

・Condição de saúde・Health condition

Health condition
Good・Boa・Good
Have an illness・Have an illness

please select

Allergies, etc.

・Alergias, etc.・Allergies, etc.

Allergies, etc.
No
Yes・Sim・Yes

please select

Are you currently receiving medical treatment?

・Está frequentando o hospital?・Currently going to hospital?

Are you currently going to the hospital?
No
Yes・Sim・Yes

please select

Height (cm)

・Altitude (cm)・Height (cm)

Height (cm)・Altura (cm)・Height (cm)

Weight (kg)

・Peso (kg)・Weight (kg)

Weight (kg)・Peso (kg)・Weight (kg)

Waist (cm)

・Circunferência da cintura (cm)・Waist circumference (cm)

Waist circumference (cm)・Circunferência da cintura (cm)・Waist circumference (cm)

Workwear size

・Tamanho do uniform・Uniform size

Jackets, Camisas, Tops
Pants・Calça・Bottom

Shoe size (cm)

・Shoe size (cm)

Shoe size (cm)

Dominant hand

・Mão dominante・Dominant hand

Dominant hand

blood type

・Tipo sanguíneo・Blood type

Blood type・Tipo sanguíneo・Blood type

Commuting method

・Meio de transporte・Commuting method

Multiple selections allowed

Vehicle information (manufacturer, model name, color)

・Informações do veículo (fabricante, modelo, cor)

・Vehicle information (manufacturer, model, color)

Upload your ID (front and back photos)

*Driver's license/residence card, etc.

・Documento de identificação (frente e verso)

※ Carteira de motorista / Zairyu Card, etc.

・Identification Document (Front and Back Photos)

*Driver's License / Zairyu Card, etc.


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