Temporary user registration 入力する前に必ずお読みください。

MandatoryName
MandatoryName kana *半角カナで入力してください
MandatoryDate of birthen *Enter in AD	Year
MandatoryPostal codeen
MandatoryAddress
MandatoryTelephone numberen
MandatoryE-mailen
MandatoryContact method
MandatoryPassword
MandatoryRe-enter Pass
Proof of identity	Send electronically