Please fill out the application as completely as possible and in Latin script. The more we know about you, the better we will be able to serve you.

Note: Fields marked "*" must be completed.
Name: * Title:
First :    
Family :
Birth year: * Year:   
Current address: *
Cell phone :
Telephone :
E-mail: *
E-mail (Retype): *

Monthly Rent Budget : yen
Desired Move-in Timing:
Rental length : Months:
Number of occupants:
Desired Apartment Size : Under 20u@ Over 20u
Furnishings : Furnished @ Unfurnished
Pick  your highest priority-

Visa status :  other :
Nationality: *

Note: We do not require a guarantor,
instead, we verify your employment  or

student status. This section must be
completed or we will not be able to
process your application.
Name: *
Address: *
Tel: *
Employed/studying in Japan since :  Month:  Year:  
Monthly Income:
Reference :  
Name :
Reference Telephone number or mail address:
How did you find us?  other :
Message : Please indicate in the box below which apartments you are
                    interested in, any special requirements not covered above,
                    and any other questions you might have.