Application Form Application Form Please fill out the form below to apply Basic Information Nationality * Select your nationality Vietnam Thailand Japan Russia Introducer * Select introducer Lee an Lana Jessy(Rasita) Sur Name * Mid Name Given Name * Nick Name Date of Birth * Age: — Sex * Please select Male Female Other Birth Region Residential Address * Your First Job Mobile Phone * E-mail Address * Bank Account Photo yourself upload Additional Information Can you drive? Yes No Do you own a car? Yes No Please provide your car information. Car Name Passenger Capacity Language Level 0: Cannot speak 1: Few basic words 2: Very limited 3: Travel/basic comm. 4: Daily conversation 5: Native level Select your level (0–5) for each language. English (0–5) Choose… 0 – Cannot speak 1 – Few basic words 2 – Very limited 3 – Travel/basic communication 4 – Daily conversation 5 – Native level Korean (0–5) Choose… 0 – Cannot speak 1 – Few basic words 2 – Very limited 3 – Travel/basic communication 4 – Daily conversation 5 – Native level Japanese (0–5) Choose… 0 – Cannot speak 1 – Few basic words 2 – Very limited 3 – Travel/basic communication 4 – Daily conversation 5 – Native level Chinese (Mandarin) (0–5) Choose… 0 – Cannot speak 1 – Few basic words 2 – Very limited 3 – Travel/basic communication 4 – Daily conversation 5 – Native level Chinese (Cantonese) (0–5) Choose… 0 – Cannot speak 1 – Few basic words 2 – Very limited 3 – Travel/basic communication 4 – Daily conversation 5 – Native level Social Media Profiles Instagram Account * TikTok Account Youtube Account Messaging App ID Line ID Kakao talk ID Account Service Name ID Submit Application
