(Fall 2022) Emergency Contact Information


APU asks all exchange program participants to provide contact information so that we can get in touch with them in the event of an emergency. Please provide emergency contact information for yourself and a guardian (parent, relative, etc.) using the survey below. 

If you have any questions related to this survey, please contact us by email. 

Academic Office
Student Exchange Team
outbound@apu.ac.jp

There are 8 questions in this survey.

Student Information

Please provide emergency contact information for yourself. 
Student ID

Name

 Family Name, Given Name 
Address
Phone Number 
 Please include the country code and the area code.

Guardian Information

Please provide emergency contact information for your guardian (parent, relative, etc.)
Guardian Name
 Family Name, Given Name
Relationship
 e.g. mother, father, grandmother
Address 
Phone Number
 Please include the country code and the area code.