STEP1 Entry
Japanese

Donation Information

＊Please note that all fields followed by an asterisk must be filled in.

 Type of donation GUNMA UNIVERSITY FUND
 Purpose of donation
＊Payment method
＊Amount of donation  yen   

Subscription Information

＊Please note that all fields followed by an asterisk must be filled in.

＊Individual / Corporation
＊Name First name      Last name    
 Sex
＊Date of birth year   month   day  
＊Company name
 Name of representative First name      Last name    
＊Name of the person in charge First name      Last name    
＊E-mail address
 of the person in charge

Please enter again to reconfirm.
＊Address
＊City/State/ZIP
＊Country
 Phone number  (Do not include hyphens.)
＊E-mail address

Please type it again to reconfirm.
＊Relationship to university
 Student id number
 Student name
 Department
    Student grade year
 The year of graduation year
 Belonging
 General
 Anonymous   

Questionnaire

Direct mail If the option is checked, direct mail will be sent to your registered e-mail address.
To receive direct mail
（１） Message to Gunma University
（ 300 characters or less. ）
（２） Whether to post a message
（ 300 characters or less. ）
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