Please fill out the following form and submit it. Venue Joetsu Shimin Plaza Asutopia Takada Joetsu Rurban Center IM TAXI Head office The Public Employment Security Office in Joetsu Desired date and time [Required] 3/10 3/11 3/17 3/18 10:00-11:00 11:00-12:00 13:00-14:00 14:00-15:00 Name [Required] Gender [Required] male female Date of Birth [Required] month day year Age [Required] years old Phone [Required] Email [Required] * Please allow mail reception from "imtaxi.com" for mobile address. Class-II driver's license [Required] Possess None Other backgrounds Sending confirmation Please confirm the above contents again, please check and send
Please fill out the following form and submit it.
3/10 3/11 3/17 3/18
10:00-11:00 11:00-12:00 13:00-14:00 14:00-15:00
male female
month day year
years old
* Please allow mail reception from "imtaxi.com" for mobile address.
Possess None
Please confirm the above contents again, please check and send
