JUKI-ShuHaRi Application form

JUKI-ShuHaRi Application form

  • Data entry
  • Confirm your entry
  • Completed

* Please fill in the following required items and send to us, and then we will reply to you with your account information.

* It takes about three business days to create an account.

* Please note that the effect of COVID-19 may cause a slight delay at present.

Application date2021/10/26

ShuHaRi application representative

Country nameRequired
Company nameRequired
Zip CodeRequired

No Hyphen

AddressRequired
Building name
TELRequired
FAX
URL
Applicant's nameRequired
Department/Section
Job Title
EmailRequired

ShuHaRi application factory

Country nameRequired

* The country name where the factory is located.

* Factories located in the countries listed in the pull-down list are eligible for application. Additional countries will be added to the list soon.

Factory nameRequired
Zip CodeRequired

No Hyphen

AddressRequired
Building name
TELRequired
FAX
URL
Your JUKI sales company
Your JUKI agency
Administrator nameRequired
* This name will be registered as the administrator in the system.
* Up to 3 administrators can be set.
* It does not matter if it is the same person as the applicant.
Department/Section
Job Title
      
TEL
EmailRequired
* The authority to view the information is given to this address.
Administrator name②
* This name will be registered as the administrator in the system. (Second administrator)
Department/Section
Job Title
      
TEL
Email
* The authority to view the information is given to this address.
Administrator name③
* This name will be registered as the administrator in the system.(Third administrator)
Department/Section
Job Title
      
TEL
Email
* The authority to view the information is given to this address.
[Survey]
Please tell us where you got to know this system.Required
Any additional comments

Required

Required