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Max. file size: 200 MB.

45mm x 45mm. Please paste a photo here. (Do NOT staple.) The photo should be clear and identifiable, taken within the last 6 months.

Name (as shown in passport)*

First Name Last Name

Other names (including any other names you are or have been known by)

First Name Last Name

Email*

Date of Birth (day/month/year)*

Place of birth (city, state or province, country)*

Please provide the city, state/province and country in which you were born.

Sex*

Marital status*

Nationality or citizenship*

Former and/or other nationalities or citizenships

ID No. issued to you by your government*

Passport type*

Passport No.*

Place of issue*

Date of issue of the passport*

Date of expiry of the passport*

Issuing authority*

Purpose of visit to Japan*

Please explain as concretely as possible.

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*

First Name Last Name

Phone*

Please write accurately.(Phone numbers should start from the area code.)

Address*

Street Address Address Line 2 City State Zip/ Postal Code

Dates and duration of previous stays in Japan*

Your current residential address (if you have more than one address, please list them all)

Address*

Street Address Address Line 2 City State Zip/ Postal Code

Phone*

Please write accurately.(Phone numbers should start from the area code.)

Current profession or occupation and position

Name of employer

First Name Last Name

Phone of employer

Address

Street Address Address Line 2 City State Zip/ Postal Code

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

First Name Last Name

Phone

Address

Street Address Address Line 2 City State Zip/ Postal Code

Date of Birth

Sex

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)

First Name Last Name

Address

Street Address Address Line 2 City State Zip/ Postal Code

Birth Date

Sex

Relationship to applicant

Profession or occupation and position

Nationality and immigration status

Remarks/Special circumstances, if any*

Names and addresses of hotels or persons with whom applicant intends to stay

Your current residential address (if you have more than one address, please list them all)

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

Have you ever:

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