FOREIGN ATTORNEYS
FORM OF APPLICATION FOR VISITING THE FIRM 


Thank you for being interested in us.  
If you are an attorney admitted in any country or region other than Japan and 
wish to visit us to have a job interview, please fill out this form to the extent 
that you deem appropriate (should any space provided bellow not be sufficient, 
please attach any appropriate exhibit), and e-mail a completed form to us at our 
e-mail address. Subsequently, we may contact you.  
Any such completed form is to be used for our internal purposes only and is not 
to be disclosed outside unless otherwise required by applicable law.

1  Name:			Date of Birth:  	, 19	

Place of Birth:

2  Current Address:		Telephone:   (    )        -
				Mobile Phone:
				Fax:         (    )        -
				E-mail:

3  Education:	High School:				Year of Graduation:

		Undergraduate/Degree:			Year of graduation:

		Graduate/Professional School/Degree:	Year of Graduation:

		Year of Admission:			

4  Professional Experience:





5	Overseas Experience (if any):







6	Type of Attorney That You Wish to Be:





7	Reason for Application for a Job at Blakemore & Mitsuki:







8	Special Features of Yourself:







9   Any Requests and/or Questions: