Introduction Form (for Individual Members and Term Members)

The International House of Japan is recruiting new members for its future activities.
Any introduction from our current members would be most welcome.

*The candidate’s permission is needed before completing the form below

*Please inform the candidate that an I-House membership application form will be sent later by the International House of Japan.

*Personal information will not be used for other purposes.

*Please note you might be one of the sponsors if the candidate does not know any members for recommendation statements.

*You will receive an I-House coupon (10,000 yen) if a candidate becomes an I-House member through your introduction.

Candidate Information:

Name (required)

Title
Mr.Mrs.Ms.Dr.Prof.

Postal Mailing Address (required)

Recommendation statement (required)

Your Information

Membership number (required)

Name (required)

Title
Mr.Mrs.Ms.Dr.Prof.

E-mail (required)

*Please refrain from registering the e-mail address of a cell phone or free email account (eg. Hotmail, Gmail), as some important notices might not reach you because of spam filters.

Note

Please ask the candidate to read the “Handling of Personal Information by the International House of Japan (PDF),” obtain his/her consent to it, and confirm it by checking the box below, when disclosing the candidate’s name and address to the IHJ.

I obtained the consent of the introduced candidate.

*Introductions must have all of the required information to be considered.

Inquiries

Membership Office
International House of Japan
5-11-16 Roppongi, Minato-ku, Tokyo 106-0032
TEL: 03-3470-3212 (Mon.-Fri., 9:00 am-5:00 pm)
FAX: 03-3470-3170