査証(ビザ)申請書の書式

申請書の書式は変更される場合があり、内容の確認のみ使用して下さい。以下の書式を使用した場合に発生じた、いかなる損害、トラブルに関しまして一切の責任を負いかねますのでご了承いただき、ご自身の責任の下ご利用して下さい。

海外格安航空券 クレジットカード


VISA APPLICATION FORM TO ENTER JAPAN
Name in full ________________________________________________________________        Photo
                   (Surname)

_____________________________________________________________________________          4.5×4.5)
                (Given and middle name)
Different name used,if any _________________________________________________________________________________

Date and place of birth ____________________________________________________________________________________
               (Month) (Day) (Year) (City) (Province) (Country)

Sex_______________________ Marital Status : married __________ single__________

Nationality or citizenship ________________________________________________________

Former nationality,if any _________________________________________________________

Purpose of journey to japan __________________________________________________________________________________

Length of stay in japan intened ______________________________________________________________________________

Route of present journey : Probable date of entry ____________________________________________________________

Port of entry into Japan _________________________ Name of ship or airline______________________________

Passport (Refugee or stateless should note the title of Travel Document) _______________________________

 No._______________ Diplomatic,Offical,Ordinary Issued at _______________ on ___________________________

 Issuing authority _____________________________________ Valid until ________________________________________

Criminal record,if any ________________________________________________________________________________________

Home address _______________________________________________________________________________________________

      _______________________________________________________________Tel.______________________________

Profession or occupation ______________________________________________________________________________________

Name and address of firm or organization to which applicant belongs __________________________

       __________________________________________________________________Tel._____________________________

Post or rank held at present __________________________________________________________________________________

Principal former positions ____________________________________________________________________________________

Address of hotels or names and address of persons with whom applicant intends to stay

__________________________________________________________________________________________________________

Dates and duration of previous stays in Japan __________________________________________________________

Guarantor or reference in Japan : Name _________________________________________________________________

  Address __________________________________________________________Tel.________________________________

  Relationship to applicant ___________________________________________________________________________________

Persons accompanying applicant
and included in his passport
Name Relationship Birthdate

I hereby declare that the statement given above is true and correst. I understand that immigration status and period of stay to be granted are decided by the Japanese immigretion authorities upon my arrival. I understand that of a visa does not entitle the bearer to enter Japan upon arrival at port of entry if he or she is found inadmissible.


  Date of application __________________________________________
               (Month) (Day) (Year)


                      Signature of applicant __________________________________________




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