Exchange Application Form

Please fill this form to request practicing in Japan.

It may not accept if it is not more than 6 month before the day you want to start your practice.

And also, if you want to do practice about livestocks, you may start it after 7 days of staying in Japan.

Name

University

Grade

Expiration date of your passport(dd/mm/yyyy)

Native language

Intermediate language

IVSA local chapter

Your position of the IVSA local chapter

Do you already have a recommendation letter?

Yes

No

Preferred date of the practice

Preferred period of the practice

Budget of this trip

The most preferred place to practice〖ex. small animal clinics〗

The second preferred place to practice

The third preferred place to practice

Any allergies or religions you might want to tell us?

Please let us know why you want to come and practice in Japan?(Max 300 words)

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