Program Type *

Target Visa Level *

SSW #1 (Basic) SSW #2 (Advanced) – Construction/Shipbuilding only Option 3

Full Name (as in passport) *

Name in Nepali *

Date of Birth *

Gender *

Male Female Other

Nationality *

Passport Number

Highest Level of Education Completed

Major Subjects/Stream

Current Address (home country)

Phone Number (with country code)

Email Address *

Do you have JLPT?

Yes No

If yes, JLPT level

JFT Score (0-100)

Do you have SSW skills test certificate?

Yes No

Japanese listening/reading ability self-assessment (1=Beginner, 5=Fluent) *

1 2 3 4 5

Total years of relevant work experience

Current/past job role

Technical skills (check all that apply)

Nursing care related Agriculture related Food service certification Construction safety

Do you have any Japanese technical certification?

Yes No

Do you have any chronic illness or disability that affects work?

Yes No

Are you willing to undergo a medical exam in Japan?

Yes No

Have you ever been denied a Japanese visa?

Yes No

Preferred start date

Training format

Online (Pre-departure) In-person Hybrid

Do you require visa support from our organization?

Yes No

📎 Document Submission Please prepare the following documents (passport, JLPT/JFT certificate, SSW exam certificate, CV, diploma). After the form is created, you must manually add a "File upload" question in the Google Forms editor.

Choose File (PDF, Word, Image)

⏳ Uploading...

Acknowledgments *

I confirm that the information provided is true and accurate. I understand that SSW training does not guarantee a job or visa. I agree to the privacy policy (link) and data sharing.

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