Update Your Address/Occupation
Please take a few minutes to complete the following information, so we can update your record. The Information Update Form so completed and submitted will be received here at Seinan Gakuin University in Fukuoka, Japan. The information will be strictly kept confidential and never disclosed in any manner.

Information Update Form [Last modified: 3/23/2022]

1. Note for the Japanese members living in Japan: 日本在住の方は,漢字,平仮名,などでご記入下さい;但し,Current Name 欄では,「志摩太郎 SHIMA, Taro」のように,日本語表記に続けて,その大文字,小文字のローマ字表記を加えます;これ以外の欄は漢字などで記入下さい).

2. When updating only part of your record (e.g., your e-mail address), enter your "Current Name" through "During (e.g., 1992-93)" and the information to be updated, leaving blank the remaining boxes.

NAMES, etc.
(Required: 入力必須です)
Current Name (First Middle Last):
Name when you were enrolled in Seinan: (To be left blank if is is the same as the current name)
Preferred Title: Mr. Ms. Dr.
Exchange Student Sent To/From [Note: In the list, SGU stands for Seinan Gakuin University]:
During (e.g., 1992-93, August-December 2016, January-May 2018):
E-MAIL ADDRESS (for SIFA's mailing list)
(Required: 入力必須です)
Type it in correctly, please:
HOME ADDRESS: For Members Living in Japan
(Optional: 入力せず空欄のままでも構いません)
Postal Code:
Address:
Phone:
Fax:
HOME ADDRESS
(Optional: 入力せず空欄のままでも構いません)
Apt/Suite, Number
and Street:
City, State/Province,
Zip Code, Country:
Phone:
Fax:
BUSINESS/OCCUPATION/(GRADUATE) SCHOOL
(Optional: 入力せず空欄のままでも構いません)
Organization:
Position:
DEGREE INFORMATION: Undergraduate, Graduate Degree(s)
(Required: 入力必須です)
Degree*Year*School, etc.:
OTHER INFORMATION/MESSAGE
(Optional: 入力せず空欄のままでも構いません)
Your information/message
here may be forwarded to
the members of the SIFA
via e-mail list.

(Note for the Japanese members: 日本語で入力をどうぞ.)


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