OFFICE

ADDRESS: 7-5-11Roppongi, Minato-ku Tokyo, Japan 106-0032 MAP

TEL:+81(0)3-3478-7411 FAX:+81(0)3-3478-7412 email:main@kkstart.com

REQUEST FORM

Please provide us with the information below so that we can fully meet your needs. Required fields are indicated by an asterisk(*).

Title Mr.  Mrs.  Ms.  Dr.

*First Name

Middle Initial

*Last Name

Company

*Email

Phone Number

Fax Number

Country

Scheduled Date of Transfer Unknown January February March April May June July August September October November December

Scheduled Visit to Tokyo Unknown January February March April May June July August September October November December

Monthly Rent No Preference up to 200,000 yen up to 300,000 yen up to 400,000 yen up to 500,000 yen up to 600,000 yen up to 700,000 yen up to 800,000 yen up to 900,000 yen up to 1,000,000 yen up to 1,100,000 yen up to 1,200,000 yen up to 1,300,000 yen up to 1,500,000 yen up to 2,000,000 yen up to 2,500,000 yen 2,500,000 yen +

Type of residence House/Apartment (Either) House Apartment

*Minimum Number of Bedrooms

Parking Yes  No

Options / Needs Furnished   Pets Allowed   Outdoor Space   Storage Other

*Preferred Area(s) Bunkyo   Chiyoda   Chuo   Meguro   Minato Nakano   Ota   Setagaya   Shibuya   Shinagawa Shinjuku   Suginami   Toshima Other    No Preference

Priority 1 None Area Rent Access Type of Residence Quality Size Sunlight

Priority 2 None Area Rent Access Type of Residence Quality Size Sunlight

Priority 3 None Area Rent Access Type of Residence Quality Size Sunlight

Questions and Comments (Optional)