Title / 敬称Mr. (นาย)Ms. (นางสาว)Mrs. (นาง)
First Name / 名
Last Name / 姓
Nickname / ニックネーム
Age / 年齢
Nationality / 国籍AfghanÃ…land IslandAlbanianAlgerianAmerican SamoanAndorranAngolanAnguillanAntarcticAntiguan or BarbudanArgentineArmenianArubanAustralianAustrianAzerbaijani, AzeriBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBeninese, BeninoisBermudian, BermudanBhutaneseBolivianBonaireBosnian or HerzegovinianMotswana, BotswananBouvet IslandBrazilianBIOTBruneianBulgarianBurkinabéBurundianCabo VerdeanCambodianCameroonianCanadianCaymanianCentral AfricanChadianChileanChineseChristmas IslandCocos IslandColombianComoran, ComorianCongoleseCook IslandCosta RicanIvorianCroatianCubanCuraçaoanCypriotCzechDanishDjiboutianDominicanEcuadorianEgyptianSalvadoranEquatorial Guinean, EquatoguineanEritreanEstonianEthiopianFalkland IslandFaroeseFijianFinnishFrenchFrench GuianeseFrench PolynesianFrench Southern TerritoriesGaboneseGambianGeorgianGermanGhanaianGibraltarGreek, HellenicGreenlandicGrenadianGuadeloupeGuamanian, GuambatGuatemalanChannel IslandGuineanBissau-GuineanGuyaneseHaitianHeard Island or McDonald IslandsVaticanHonduranHong Kong, Hong KongeseHungarian, MagyarIcelandicIndianIndonesianIranian, PersianIraqiIrishManxIsraeliItalianJamaicanJapaneseJordanianKazakhstani, KazakhKenyanI-KiribatiNorth KoreanSouth KoreanKuwaitiKyrgyzstani, Kyrgyz, Kirgiz, KirghizLao, LaotianLatvianLebaneseBasothoLiberianLibyanLiechtensteinLithuanianLuxembourg, LuxembourgishMacanese, ChineseMacedonianMalagasyMalawianMalaysianMaldivianMalian, MalineseMalteseMarshalleseMartiniquais, MartinicanMauritanianMauritianMahoranMexicanMicronesianMoldovanMonégasque, MonacanMongolianMontenegrinMontserratianMoroccanMozambicanBurmeseNamibianNauruanNepali, NepaleseDutch, NetherlandicNew CaledonianNew Zealand, NZNicaraguanNigerienNigerianNiueanNorfolk IslandNorthern MariananNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New Guinean, PapuanParaguayanPeruvianPhilippine, FilipinoPitcairn IslandPolishPortuguesePuerto RicanQatariRéunionese, RéunionnaisRomanianRussianRwandanBarthélemoisSaint HelenianKittitian or NevisianSaint LucianSaint-MartinoiseSaint-Pierrais or MiquelonnaisSaint Vincentian, VincentianSamoanSammarineseSão ToméanSaudi, Saudi ArabianSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSint MaartenSlovakSlovenian, SloveneSolomon IslandSomali, SomalianSouth AfricanSouth Georgia or South Sandwich IslandsSouth SudaneseSpanishSri LankanSudaneseSurinameseSvalbardSwaziSwedishSwissSyrianChinese, TaiwaneseTajikistaniTanzanianTimoreseThaiTogoleseTokelauanTonganTrinidadian or TobagonianTunisianTurkishTurkmenTurks and Caicos IslandTuvaluanUgandanUkrainianEmirati, Emirian, EmiriBritish, UKAmericanUruguayanUzbekistani, UzbekNi-Vanuatu, VanuatuanVenezuelanVietnameseBritish Virgin IslandU.S. Virgin IslandWallis and Futuna, Wallisian or FutunanSahrawi, Sahrawian, SahraouianYemeniZambianZimbabwean
Mobile / 携帯電話番号
LINE ID
Email
What kind of service are you looking for? / どのようなサービスをお探しですか？ Real estate for rent (อสังหาฯสำหรับเช่า)
Currently in Japan or not? / 現在日本に住んでいますか？YES, I’m staying in Japan. ใช่ ฉันอาศัยในญี่ปุ่นNO, I’m staying in other country. ไม่ใช่ ฉันไม่ได้อาศัยในญี่ปุ่น
Name of school – company in Japan / あなたが通っている学校名または働いている会社名Shinjuku Japanese Language Institute (SNG)
Japanese Language Proficiency / あなたの日本語能力N1N2N3N4N5Understand daily conversation Japaneseได้ภาษาญี่ปุ่นระยะบทสนทนาในชีวิตประจำวันDon’t understand Japanese at all ไม่ได้ภาษาญี่ปุ่นเลย
Date to move in / 入居希望日 (DD/MM/YYYY)
Length of stay or contract (Year) If you stay for less than a year, please select 0/ 日本に滞在する期間（年）短期で1年未満の場合は0を選択してください。012345
Length of stay or contract (Month) If you want to stay for a full year, please select 0 / 日本に滞在する期間（月）1 年または2年の場合は0を選択してください。01234567891011
How do you know about LandHousing? / ランドハウジングをどのように知りましたか？Shinjuku Japanese Language School (SNG)
Room Plan Of The Desired Room / 希望する部屋のタイプ（複数選択可能）1R : 1 Bedroom+ Kitchen(no separation)1K : 1 Bedroom+ Kitchen(with separation)1DK : 1 Bedroom+ Dining & Kitchen(with separation)1LDK : 1 Bedroom+ Living & Dining & Kitchen(with separation)2K : 2 Bedrooms + Kitchen (with seperation)2DK : 2 Bedrooms+ Dining & Kitchen(with separation)2LDK : 2 Bedrooms+ Living & Dining & Kitchen(with separation)3LDK : 3 Bedrooms+ Living & Dining & Kitchen(with separation)4LDK : 4 Bedrooms+ Living & Dining & Kitchen(with separation)Other (Please fill in your answer below)
Room plan (Other) / その他（具体的にご記入ください）
Prefer Property Type (Rent) / 希望する賃貸物件の種類Apartment/Mansion for rent (Empty room with no furniture and appliances) ห้องเปล่าแบบไม่มีเฟอร์นิเจอร์Share House (Normally share some facilities in common space) แชร์เฮาส์Monthly Mansion / Apartment (Fully Furnished with utilities’ fees included) ห้องแบบตกแต่งครบพร้อมอยู่Other
Prefer Property Type (Rent) Other / 希望する賃貸物件の種類
Monthly rent budget in JPY / 月額家賃予算（単位：円）Less than 50,000 Yen50,000 – 60,000 Yen60,001 – 70,000 Yen70,001 – 80,000 Yen80,001 – 90,000 Yen90,001 – 100,000 Yen100,001 – 110,000 Yen110,001 – 120,000 Yen120,001 – 130,000 Yen130,001 – 140,000 Yen140,001 – 150,000 Yen150,001 – 200,000 Yen200,001 – 250,000 Yen250,001 – 300,000 YenMore than 300,000 Yen
Desired Prefecture (Rent) / 希望する県名を記入してくださいTokyo
Desired Train Station or District Area / 希望する地区名または駅名を記入してください
Walking Distance from the nearest train station / 最寄りの駅からの徒歩時間within 1-3 minutes / นาทีwithin 3-5 minutes / นาทีwithin 5-7 minutes / นาทีwithin 7-10 minutes / นาทีwithin 10-15 minutes / นาทีwithin 15-20 minutes / นาทีOther
Walking distance to the nearest station (Other) / その他（あれば具体的にご記入ください）
Number of tenant(s) *Include you / 入居者数（あなたを含む）1 person (1 ท่าน)2 people (2 ท่าน)3 people (3 ท่าน)Other
In case number of tenants is more than 1 person, please specify the Relationship of Tenant (Other) /
入居者が1名以上の場合は、入居者の関係性を指定してください。
–None–Parents (พ่อ – แม่)Sibling (พี่ – น้อง)Friend (เพื่อน)Couple (แฟน)Fiancee (คู่หมั้น)Spouse (คู่สมรส)Relative (เครือญาติ)
Other room requirements / その他の部屋に関する要件を具体的にご記入ください。
例：プライバシーが確保された部屋、ペット可、大きな部屋（50平方メートル）など。
! Please double-check for accuracy before submitting and ensure you are providing the correct information for required fields. If the required information is not filled in, our staff may not be able to check your inquiry.
! 送信する前に、正確さを再確認し、必須空欄に正しい情報を入力してください。必須情報が記入されていない場合、当社のスタッフがお問い合わせを確認できない場合があります。
Please press ‘Submit’ to complete the form. / フォームを完了するには、’送信’ボタンを押してください。
เวลาทำการ จันทร์ - ศุกร์ 09:00-17:00ยกเว้นวันหยุดนักขัตฤกษ์
