Visa Application Form

* Required field
 
Country of citizenship*
Embassy or Consulate you are going to visit for applying. *
Please write an Official name of Embassy or Consulate at which you apply a visa for Japan		 Embassy Consulate
First Name Alphabet*
Chinese character (if any)
Family Name Alphabet*
Chinese character (if any)
Sex * male female
Date of Birth (Day / Month / Year) * Day / Month / Year
Age*
Affiliation*
Position*
E-mail address*
↓Please type again for confirmation.
Flight Information
Flight Information
(to Japan)
Please write an Official name of the airport which you arrive at. 		Date*
Airport(From - To)*
Airline&Flight number*
Flight Information
(from Japan)
Please write an Official name of the airport which you depart from.		 Date*
Airport(From - To)*
Airline&Flight number*
Accommodation
Contact Number during your stay in Japan
Accommodation in Japan 1 Hotel*
Address*              
Phone*
2 Hotel
Address
Phone
3 Hotel
Address
Phone
Itinerary in Japan
Full Itinerary in Japan e.g.1 Date & Itinerary
                * You can put names of city as well as airport.
Hotel (You will stay at) 1 2 3
e.g.2 Date & Itinerary
                * You can put names of city as well as airport.
Hotel (You will stay at) 1 2 3
Day1* Date & Itinerary*
Hotel* (You will stay at) 1 2 3
Day2* Date & Itinerary*
Hotel* (You will stay at) 1 2 3
Day3 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day4 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day5 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day6 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day7 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day8 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day9 Date & Itinerary
Hotel (You will stay at) 1 2 3
Day10 Date & Itinerary
Hotel (You will stay at) 1 2 3
↓ Please fill in the address of either home or affiliation, where you wish to receive the document.
Contact Address
(Home or Affiliation)		 Home or Affiliation * Home Affiliation
Position*
If you selected "Home", please fill in "none".
Affiliation*
(Institution,University etc.)
If you selected "Home", please fill in "none".
Address*
Zip*
Phone*
Fax
 
Note

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