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VISA APPLICATION FORM TO ENTER JAPAN

(Paste photo here) *Official use only 45mm ×45mm or 2in×2in

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 Sex: Male Place of birth

(Day)/(Month)/(Year)

Female

Marital status: Single

(City)

Married

(State or Province)

Widowed

(Country)

Divorced

Nationality or citizenship Former and/or other nationalities or citizenships ID No. issued to you by your government Passport type: Diplomatic Passport No. Place of issue Issuing authority Purpose of visit to Japan Intended length of stay in Japan Date of arrival in Japan Port of entry into Japan Name Address Dates and duration of previous stays in Japan Your current residential address (if you have more than one address, please list them all) Address Tel. Current profession or occupation and position Name and address of employer Name Address Tel. Mobile No. Name of ship or airline Tel. Names and addresses of hotels or persons with whom applicant intends to stay Date of issue Date of expiry

(Day)/(Month)/(Year) (Day)/(Month)/(Year)

Official

Ordinary

Other

*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 Address Date of birth Relationship to applicant

(Day)/(Month)/(Year)

Tel.

Sex: Male

Female

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 Address Date of birth Relationship to applicant

(Day)/(Month)/(Year)

Tel.

Sex: Male

Female

Profession or occupation and position Nationality and immigration status *Remarks/Special circumstances, if any Have you ever:

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been convicted of a crime or offence in any country? been...