Free Bird Institute - Application

First name(s):*

Last name:*

Date of Birth:*

Today

Email:*

Contact Number:*

Country of Birth:*

Marital Status:*

Never Married
Married
Divorced
Widowed

Number of Children:

Gender:*

Male
Female

Residential Address:*

Highest educational achievement:*

Institution name (if applicable):

Current Occupation:

Name of current employer:

Do you have a valid drivers license?:*

Yes
No

If your response to the above is yes, what type of license do you hold?:

Learners Permit
Provisional License
Full License

Do you have your family or spouse's consent to work in Japan should you be Successful?:*

Yes
No

Do you have existing or previous criminal records?:*

Yes
No

Any Visible Tattoos?:*

Yes
No

Any existing medical condition or allergy:*

Yes
No

Are You Currently Bonded by the Fiji Government:*

Yes
No

If your answer to the above is Yes, please explain:

If you are Bonded to the Fiji Government, how many more Years are Remaining on Your Bond:

How did You Hear about this Vacancy:*

Do You Have a Valid Passport with an Expiry of Over 6 Months:*

Yes
No

CV:*

Cover Letter:

Upload additional files:

Please attach a zipped file for more than one document

Security code:*

Enter security code:

Application Form