下関/寮内/SIM/モバイル_英語

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Be careful, don't mistake this application form.
【Sun-Net】APPLICATION FORM

Please, check the Sun-Net contract conditions before applying.

Enter the required information and click on "Confirm"
 
※required

Name and surname *
Furigana
Gender *

Birthdate *

入力例)YYYY/MM/DD

Nationality
Please choose your dormitory *

room number
Other address ※Please, do NOT forget the building name and room number.
Email address *
Email address (confirmation) *
Desired plan(SIMCard)

Option service

Desired plan(PocketWiFI/mobileWiFI)

Desired plan(in your room)

Physical (MAC) address information. Device OS and desired connection (wired or wireless)

入力例)(Only "in your room" service applicants)e.g. Windows10 Wired 12:34:56:ab:cd:ef ※If you do not enter the MAC address you will not be able to connect to the Internet. If you do not have any device yet, let us know the MAC addresses as soon as you can.

Contract starting month *
Contract ending month *
Payment method *

Residence card(front) *

入力例)Only SIM service applicants

Residence card(back) *

入力例)Only SIM service applicants

Remarks
Contract agreement *

About personal information *

I accept the terms of contract and agree with Sun-Net personal information protection policy. If you agree with our privacy policy, please check the button and click on “Send application”

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