Club Membership Registration Form

日本倶楽部　Japanese Club Membership Registration

Complete the form below to sign up for our membership service.
Name・名前 *

First Name Last Name
E-mail・メールアドレス *
Phone Number・携帯番号:

Country code Phone Number

Address・住所:

Date of Birth・生年月日

Month Day Year
Where did you hear about us?

Japanese language learner Japanese Club Member A Friend or colleague Google
Membership Rules

会員規約
MEMBERSHIP RULES

1. Membership is available to anyone after filling this form and deposting Rs. 400/- to the president of the club or other admin members.

2. You promise NOT to use to conduct any fraudulent or business activity or have more than one Member Account at any time.

3. The rules are subject to modification as and when required.
*

I have read, understood, and accepted the rules for membership.
Payment Options・お支払い方法 *

Cash - club president Paytm wallet Debit-Credit card-Net banking Already paid & have my club card
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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日本倶楽部 Japanese Club Membership Registration