FIJIAN COMMUNITY DATABASE

The Embassy would like to update our database of Fijians in Japan and be able to establish contact with members of the Fijian community.

We invite you to register by providing us with the following information:

* required fields

REGISTRATION FORM:

*Family Name *First Name

*Gender Male Female Date of Birth (dd/mm/year)

*Address

*E-mail

*Phone Fax

Any Dependent: 1. 2. 3. 4. 5.

Date of Arrival (mm/year) Koro/Tikina/Yasana

Occupation

Visa Status

Next of Kin: Contact:

*Do you wish to be included in the Directory? Yes No

Are you a member of any religious or other organization? Name:

Intended length of stay in Japan:

Additional comments :

If you do not want to send this information by E-Mail you can download the form HERE.

The Fiji Embassy is committed to protecting your privacy. We will not disclose your information to third parties without your consent.