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Application Form

This document is a visa application form for entering Japan. It requests information such as the applicant's name, date of birth, passport details, contact information, purpose and duration of visit, and previous travel history to Japan. The applicant must declare if they have any criminal convictions or violations of immigration laws. By signing, the applicant consents to their personal information being used to process the visa application and for immigration control purposes.

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32 views

Application Form

This document is a visa application form for entering Japan. It requests information such as the applicant's name, date of birth, passport details, contact information, purpose and duration of visit, and previous travel history to Japan. The applicant must declare if they have any criminal convictions or violations of immigration laws. By signing, the applicant consents to their personal information being used to process the visa application and for immigration control purposes.

Uploaded by

mogeg10895
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VISA APPLICATION FORM TO ENTER JAPAN

(Paste photo here)

45mm ×35mm
*Official use only
or 2in x 1.4in

*Taken within the


last 6 months.
*If a question does not apply to you, please write "NA".

Surname (as shown in passport)


Given and middle names (as shown in passport)
Other names (including any other names you are or have been known by)

Date of birth Place of birth


(Day)/(Month)/(Year) (City) (State or Province) (Country)
Sex: Male Female Marital status: Single Married Widowed Divorced
Nationality or citizenship
Former and/or other nationalities or citizenships
*If you don't have any other nationality,write"NA", if you have a former nationality, please indicate this.
ID No. issued to you by your government
*If you don't have an ID, write "NA".
Passport type: Diplomatic Official Ordinary Other Passport No.
Place of issue Date of issue
(Day)/(Month)/(Year)
Issuing authority Date of expiry
(Day)/(Month)/(Year)
Certificate of Eligibility No.
Status of residence/Purpose of visit to Japan

Intended length of stay in Japan Date of arrival in Japan


Port of entry into Japan Name of ship or airline
Names and addresses of hotels or persons with whom applicant intends to stay
Name Tel.

Address
Dates and duration of previous stays in Japan
*Please fill in the most recent visit to Japan.
Your current residential address (if you have more than one address, please list them all)

Address
Tel. Mobile No.
E-Mail
Current profession or occupation and position
Name and address of employer

Name Tel.

Address
*Partner's profession/occupation (or that of parents, if applicant is a minor):

Guarantor or reference in Japan(Please provide details of the guarantor or the person to be visited in Japan)
Name Tel.

Address
Date of birth Sex: Male Female
(Day)/(Month)/(Year)
Relationship to applicant
Profession or occupation and position
Nationality and immigration status
Inviter in Japan(Please write 'same as above' if the inviting person and the guarantor are the same)
Name Tel.

Address
Date of birth Sex: Male Female
(Day)/(Month)/(Year)
Relationship to applicant
Profession or occupation and position
Nationality and immigration status
*Remarks/Special circumstances, if any
Have you ever:
● been convicted of a crime or offence in any country? Yes No
● been sentenced to imprisonment for 1 year or more in any country?** Yes No
● been deported or removed from Japan or any country for overstaying your visa or violating
any law or regulation? Yes No
● been convicted and sentenced for a drug offence in any country in violation of law
concerning narcotics, marijuana, opium, stimulants or psychotropic substances?** Yes No
● engaged in prostitution, or in the intermediation or solicitation of a prostitute for other
persons, or in the provision of a place for prostitution, or any other activity directly
connected to prostitution? Yes No
● committed trafficking in persons or incited or aided another to commit such an offence? Yes No
** Please tick “Yes” if you have received any sentence, even if the sentence was suspended.
If you answered “Yes” to any of the above questions, please provide relevant details.

“I hereby declare that the statement given above is true and correct. I understand that immigration status and period of stay to
be granted are decided by the Japanese immigration authorities upon my arrival. I understand that possession of a visa does not
entitle the bearer to enter Japan upon arrival at port of entry if he or she is found inadmissible.”
“I hereby consent to the provision of my personal information (by an accredited travel agent, within its capacity of representing
my visa application) to the Japanese embassy/consulate-general and (entrust the agent with) the payment of my visa fee to the
Japanese embassy/consulate-general, when such payment is necessary.”

Date of application Signature of applicant


(Day)/(Month)/(Year)
* It is not mandatory to complete these items. *The signature must be in your own hand-writing and same as the signature on your passport.
Any personal information filled in this application form as well as additional personal information submitted for the visa
application (hereinafter referred to as "Retained Personal Information”) will be handled appropriately by the Ministry of Foreign
Affairs of Japan (including Japanese overseas establishments) in accordance with the Act on the Protection of Personal
Information (Act No. 57 of 2003, hereinafter, “the Act”). Retained Personal Information will only be used to the extent
necessary for the purpose of processing the visa application (including providing personal information to the transportation
company which you are going to travel with, or the alternative transportation company which you are going to travel with due
to unforeseen circumstances), immigration control, international cooperation and for other purposes in compliance with Article
69 of the Act.

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