査証(ビザ)申請書の書式
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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 __________________________________________ |