First Name:


Last/Family Name:


Email Address:

Phone (e.g. 090-9999-9999):

Region:
Select Your RegionChubuChugokuHokkaidoKansaiKantoKyushu & OkinawaShikokuTohoku
Post Code (e.g. 530-0041):

Prefecture:
Select Your PrefectureAichiAkitaAomoriChibaEhimeFukuiFukuokaFukushimaGifuGunmaHiroshimaHokkaidoHyogoIbarakiIshikawaIwateKagawaKagoshimaKanagawaKumamotoKyotoKochiMieMiyagiMiyazakiNaganoNagasakiNaraNiigataOitaOkayamaOkinawaOsakaSagaSaitamaShigaShimaneShizuokaTochigiTokushimaTottoriToyamaTokyoWakayamaYamagataYamaguchiYamanashi
City (e.g. Osaka-shi) (*Kanto addresses may not have this):

Ward (e.g. Kita-ku):

District or Other Address Info (e.g. Ikoma-gun, Imazu, Takagamine) (*some addresses do not have this):

Street Address (e.g. Nakano-cho 1-6-8):

Apartment Name and Room Number (e.g. Tenma Bldg 203):

Monthly Dues Rate (dues are based on your yearly income before taxes and after bonuses, see Membership -> Dues for more info):
Select Your Dues Rate5000 yen per month (earning more than 625,000 monthly, more than 7,500,000 yearly)4500 yen per month (earning 500,000 - 624,000 monthly, 6,000,000 - 7,499,999 yearly)4000 yen per month (earning 375,000 - 499,000 monthly, 4,500,000 - 5,999,999 yearly)3500 yen per month (earning 250,000 - 374,000 monthly, 3,000,000 - 4,499,999 yearly)3000 yen per month (earning 209,000 - 249,000 monthly, 2,500,000 - 2,999,999 yearly)2500 yen per month (earning 167,000 - 208,000 monthly, 2,000,000 - 2,499,999 yearly)2000 yen per month (earning 84,000 - 166,000 monthly, 1,000,000 - 1,999,999 yearly)1000 yen per month (earning 42,000 - 83,000 monthly, 500,000 yen - 999,999 yearly)500 yen per month (earning less than 41,000 monthly, less than 500,000 yearly)
How Did You Hear About Us?:
FriendFacebook AdRedditGoogle SearchUnion LeafletMedia CoverageTwitterYouTubeJALTWorkplace Orientation

If referred by a union member, what is their name? (If possible, please write their full name):

Is there a specific reason why you would like to join?:

Name of MAIN workplace (e.g. ABC Company) (where you work the most):

What Type of Industry Do You Work In?:
Select an IndustryEducationManufacturing and ConstructionRetail and Food ServiceInformation Technology and Telecommunications / ITHealthcare and Social ServicesFinance and Real EstateTransportation and LogisticsHospitality and TourismMedia and EntertainmentProfessional Services (Consulting, Legal, etc.)Other
At this workplace I am......
DispatchedDirectly HiredI Don't Know
Please List Your Other Workplaces (separated by a comma) (e.g. Kindai, Kangaku, ECC):

What labor issues are you most concerned about?:
Gender Equality5 Year LimitSexual HarassmentNothing at the moment

I'd like more info about:
Filipino Organizing CommitteeLGBTQ CommitteeGender Parity CommitteeSolidarity CommitteeWorkplace OrganizingNothing at the moment
Learn more about our committees

Duties of membership

Please click to state that you understand and agree before submitting the application.
1. Keeping your dues paid up to date, and paying by an automatic process such as checkoff, bank debit, or PayPal transfer.
2. Participating in your own branch, attending your branch meetings and branch annual general meeting (online participation is usually an option).
3. Supporting fellow union members (from all union branches) who are in dispute with their employer (this does not mean that you are required to go on strike to support members in other workplaces).

I agree to follow the duties of membership to the best of my ability

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