Visa Application Form To Enter Japan
VISA APPLICATION FORM TO ENTER JAPAN
Name in full
(Pho
to )
(Surname)
approx. 45mm ×45mm
(Given and middle name)
2in×2in
Different name used, if any
Date and place of birth :
(Day) (Month) (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 intended
Route of present journey: Probable date of entry
Port of entry into Japan Name of ship or airline / flight No.
Passport (Refugee or stateless should note the title of Travel Document)
No. Diplomatic, Official, 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
＊Partner’s Profession/occupation (or Parents’ Profession/occupation)
Address of hotels or names and addresses of persons with whom applicant intends to stay
Dates and duration of previous stays in Japan
Guarantor or reference in Japan : Name Tel.
Address
Relationship to applicant
＊(Remarks) Special circumstances, if any
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.
Date of application
(Day) (Month) (Year)
Signature of applicant
*These items are not essential to be filled
