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    Reservation information
    Hotel Name
    とまり屋Yumeatom
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    Room Name
    Single
    Reservation holder
    First name Last name
    Email at the time booking
    Confirm Email
    Representative is same person
    Required
    Representative name
    Required
    First name Last name
    Representative email
    Required
    Number of guest(Max：1person(s))
    Male Female
    （※Children under elementary school age）
    Male Female
    Private dormitory room (price is for 1 people)
    Please enter your companion's email address
    Availability Check
    Accommodation representative information
    Number of night
    Checkin date
    label.guest.input.checkout_date
    Check-in time
    Hour Minute
    Country
    Address
    Prefectures
    City
    Building name, room number, etc
    Profession
    Date of birth (half-width number)
    Gender
    Driver's License (Front)
    Driver's License (Back)
    Passport No.
    Passport Photo page
    ID with Photo (Front)
    ID with Photo (Back)
    A copy of the vaccination certificate
    Age
    Phone number
    Previous accommodation
    Next destination
    Vehicle number
    Means of transportation
    Health declaration check
    Current health condition (Do you have any healthy issue now? Please select the one that applies to you.
    Body temperature (Please inform your current body temperature)
    Health status in the last 14 days (Did you have any symptoms such as fever or cough within the last 14 days? Please select the one that applies to you)
    History of contact with an infected patient (Are you in contact with infected patient or people in close contact within the last 14 days (is it possible?) (Yes / No))
    Travel history in the last 14 days (Enter the region (country) where you have visited in the last 14 days)
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