Contact TEL.0978-38-0033
Reception hours: 9:00-16:00 (weekdays only)
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Request for materials / Inquiries

Certificate issuance application form

About applying via the website

If you apply for various certificates using the form below, we will send you a reply to the email address you entered with a QR code for the amount of the payment (issuance fee + shipping fee). Please save the code on your mobile phone and scan the QR code to make the payment. The certificate will be issued after we confirm your payment. If you are unable to read the QR code, the procedure will be the same as issuing a certificate by mail, so after filling out the form, please mail the amount of the payment (issuance fee + shipping fee) to the billing address below. The certificate will be issued after we receive the payment.*QR code payment (PayPay is only available in person)　

●For applications and inquiries, please contact: 939 Esuka, Usa City, Oita Prefecture, 872-0032 
Yanagigaura High School Office, Certificate Issuance Section (Inquiries: TEL. 0978-38-0033) 

For inquiries about our school, please contact us by phone, fax, or email. If you have made an inquiry by email and have not received a response after a while, it is possible that your email was not received. We apologize for the inconvenience, but please contact us at the phone number above. Also, if you have any questions, please feel free to contact us. *If you do not receive a reply email, please disable "specified reception" in your email settings. For inquiries about our school, please contact us by phone, fax, or email.
Required certificates
*Please enter the number of certificates you need and the Japanese/English format. After entering the information, please make sure there are no errors.
① Certificate of enrollment
*Please enter the number of sheets required.
　The above certificate format
② Dormitory admission certificate
*Please enter the number of sheets required. (Japanese only)
③Certificate of expected graduation
*Please enter the number of sheets required.
　The above certificate format
④ Transcript
*Please enter the number of sheets required.
For students enrolled in 1993 or earlier, issue period: 20 years
　The above certificate format
⑤Investigation report
*Please enter the number of sheets required.
　The above certificate format
⑥Certificate of credit acquisition
*Please enter the number of sheets required.
　The above certificate format
⑦Graduation certificate
*Please enter the number of sheets required.
　The above certificate format
● Applicant information
Name ※Required
Furigana ※Required
Not applicable
maiden name
*Required if there have been any changes
Furigana
Not applicable
*Required if there have been any changes
Sex ※Required
Date of Birth ※Required
Years 
Month 
Day 
age ※Required
age
Current address ※Required
Postal Code 
Address at time of graduation
Postal Code 
Phone ※Required
*Please enter a number where you can be contacted during the day
FAX
E-mail address ※Required


Graduation date
Years 
Month 
Graduation course
(class) ※Required
Payment Method ※Required
Remarks
※Express delivery etc.
Yoshimochi Independent Academy
Yanagigaura High School
872-0032
939 Esuka, Usa City, Oita Prefecture
TEL.0978-38-0033
FAX: 0978-38-5828
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