Full Name * [text* full-name placeholder “Your full name”]
Email * [email* your-email placeholder “your@email.com”]
Phone / WhatsApp [tel your-phone placeholder “+81-90-xxxx-xxxx”]
Current Status * [select* current-status include_blank “International Student” “Graduating soon” “Working (looking to change status)” “Other”]
Service You Need * [checkbox* service-needed use_label_element “Student visa (new/renewal)” “Permission for Part-time Work” “Change of status: Student → Engineer/Specialist” “Change of status: Student → Specified Skilled Worker” “Career/job-hunting support” “Other”]
Preferred Language * [select* preferred-language include_blank “English” “Japanese” “Chinese” “Indonesian”]
School / Company [text org-name placeholder “Your school or employer”]
Desired Consultation Method [radio consult-method use_label_element default:1 “Email” “LINE” “Zoom” “Phone” “In-office”]
Message [textarea your-message placeholder “Tell us your situation and questions (e.g., status expiry date, job offer, industry preference, etc.)”]
Attach File (PDF/JPG/PNG, up to 5MB) [file your-file limit:5mb filetypes:pdf|jpg|jpeg|png]
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