Japanese Studies Program

Ateneo de Manila University

2/F Ricardo Leong Hall, Ateneo de Manila University, Loyola Heights, Quezon City * telefax 426-6001loc.5249 * japanese.soss@ateneo.edu

Review Classes for the Japanese Language Proficiency Test (JLPT)

N5 Review N4 Review N3 Review

(Please double-check schedule of classes before enrolling.)

Name of Participant: (Mr./Ms.) Age: _______ __

Contact Information: Mobile/Phone #: Email Address: _____________________________

Highest level of Nihongo class taken up: Year Taken: School: ____________ ________

Are you taking the JLPT this year? Yes No If yes, when? July December
(Note: JSP does not facilitate student’s application for the JLPT.)

To be filled out by JSP staff

Mode of Payment: (Checks should be payable to Ateneo de Manila University).

O Cash - Amount ____________ O Check - Amount ____________ Check No. ___________

O Bank Deposit - Amount ______________ Date of deposit: ____________

RMI/OR Number: ________________________ Date of registration/payment: ______________________

For payments at the Ateneo Cashier’s Office

To: CASHIER'S OFFICE DATE

This is to request for your office to issue an OR with the following details:

PAYER TOTAL AMOUNT PhP

As payment for the following: REGISTRATION FEE: JLPT REVIEW

ACCOUNT TO BE CREDITED 188-078-005 – Nihongo

Mode of Payment:
[ ] CASH [ ] CHECK Details: [ ] DIRECT DEPOSIT

UNIT/DEPARTMENT: Japanese Studies Program CONTACT NO. 5248/5249