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
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