Confidential Application Form

Print-out version

  • Print out
     Confidential Application Form (PDF),
    fill in the information, and mail the form to the Membership Secretary.

       Aska Aoshima
       IMHPJ Membership Secretary
       c/o TELL Counseling Center
       Wesley Center 2F
       6-10-11 Minami-Aoyama
       Minato-ku, Tokyo 107-0062, JAPAN
       aa2432@gmail.com