Application Form - "Otomo" for you

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Attention!
Otomo is ONLY available for Residence in Japan. Temporary visitors or tourist CANNOT apply this sim card.

Your Name*
Name in Hiragana*
Birth Date*
email address*
confirm e-mail*
Phone Number*	- -
Which product are you interested in?* （¥110 Promo only applied for Voice sim, under the age 76yrs old)	A:Data＋SMS Sim B:Data＋SMS＋Voice Sim　with NEW Phone number C:Data＋SMS＋Voice Sim　MNP(Switching from other career) D:Global Wifi 100GB
How many GB would you like?*
Do you need Kakehodai?* (Free call for certain min.)
Any other option you wish to have?*
Please attach Official Personal ID(1)*	× Photo of Zairyu Card Front. Sample of Zairyu Card Front.
Please attach Official Personal ID(2)*	× Photo of Zairyu Card Back. Sample of Zairyu Card Back.
Payment Method* （Only Credit card will be accepted）
How do you know Otomo?

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