Please enter the information below.
Cancellation Plan（Required） —以下から選択してください—DATA SIM 1GB 1350yen/monthly DoCoMo + Initial cost 3250yen~ + Tax10%DATA SIM 3GB 1480yen/monthly DoCoMo + Initial cost 3250yen~ + Tax10%DATA SIM 5GB 1600yen/monthly DoCoMo + Initial cost 3250yen~ + Tax10%DATA SIM 10GB 1900yen/monthly DoCoMo + Initial cost 3730yen + Tax10%DATA SIM 20GB 3120yen/monthly DoCoMo + Initial cost 4100yen + Tax10%DATA SIM 30GB 3980yen/monthly DoCoMo + Initial cost 4600yen + Tax10%DATA SIM 50GB 5550yen/monthly DoCoMo + Initial cost 5100yen + Tax10%DATA SIM 100GB 11100yen/monthly DoCoMo + Initial cost 5600yen + Tax10%CALL SIM 5GB 2000yen/monthly SMS DoCoMo + Initial cost 4100yen + Tax10%CALL SIM 10GB 2500yen/monthly SMS DoCoMo + Initial cost 4150yen + Tax10%CALL SIM 20GB 2950yen/monthly SMS DoCoMo + Initial cost 4430yen + Tax10%CALL SIM 50GB 4800yen/monthly SMS DoCoMo + Initial cost 5150yen + Tax10%
first name（Required）
middle name
last name（Required）
E-mail（Required）
Reconfirmation E-mail（Required）
Date Of Birth(yyyymmdd)（Required）
Gender（Required） ManWomanOther
Country（Required）
Language（Required） —以下から選択してください—JapaneseEnglishChineseIndonesiaVietnameseOther
Residence Card Number（Required）
Address Line1(example:3-31-8 Seto Kanazawa-ku)（Required）
Address Line2(example:#501 Ikebukuro uesutobiru)（Required）
City(example:Yokohama-shi)（Required）
State/Province/Region(example:Kanagawa-ken)（Required）
ZIP/Postal Code(example:2360027)（Required）
Tel
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿
Image/Copy of Your ID Required Residence card
1) The residence card must be of the applicant himself and the applicant must carry out the registration process by himself.
2) All details must be updated with the lastest information.
3) The information written on the uploaded ID document and the information provided through the registration page must be a perfect match.
4) The applicant's current address must be clearly written and registered on his Residence Card.
5) The uploaded document must be at least 30 days from its expiration date.
6) There must be no stain or signs of damage on the Residence Card.
7) Color photos of both sides of the Residence Card must be taken and uploaded.
8) All infromation written on the Residence Card must be shown clearly in the photo.
9) There must be no sign of image forgery in the uploaded photo.
※Notice※
・There are occasions where we cancel your application if a photo of the back of your Residence card is not attached. When you upload documents for identity verification, please make sure that you upload photos of both the front and back of your Residence card.
Residence card front（Required）
Residence card back（Required）
I Agree to The Terms. The confirmation screen is not displayed. Are you sure you want to send it?（Required） I Agree
