* Required Items
E-mail*
Last Name, First Name* Example: Toden, Taro
Gender*
Title* Example: Mr., Mrs.
Birth date* Example: 1970/1/31
(yyyy/mm/dd)
Nationality*
Occupation*
Example: Manager, nuclear engineering department, TEPCO headquarters
Home Address*
Example: 1-1-3 Uchisaiwai-cho, Chiyoda-ku, Tokyo Japan
Home Phone No.*
Example: +81-3-6373-1111
Number of The Fukushima Daiichi Nuclear Power Plant visits*

Date of The Fukushima Daiichi Nuclear Power Plant  last visit
Example: 2013/6/10
(yyyy/mm/dd)

The Fukushima Daiichi Nuclear Power Plant Working IDs Example: 12345678
Height* cm
Convert feet to cm
Shoe size* cm
Size Conversion
Glasses *
Identification*

Please be sure to write the same name as your passport you bring on the day.

1: During the visit, you need to bring your photo identification issued by public authorities, such as a passport. Without your identification, you cann't pass the entrance gate at NPS.
2: Before the site tour, at the J-Village changing area, we ask that you change into long-sleeved shirts and trousers that you do not mind getting dirty. Please refrain from skirt and high heels for women.
3: We use your personal information for entrance control administration and donot use it for anything else.
Secretariat
c/o Convex Inc.
Toranomon Waiko Bldg., 5-12-1 Toranomon, Minato-ku, Tokyo 105-0001 Japan
Tel: +81-3-5425-1604 Fax: +81-3-5425-1605
Email:wce2017@convex.co.jp