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    Visa Application Form To Enter Japan: Single

    Uploaded by

    TS Pham
    This document is a visa application form for entering Japan. It collects personal information such as the applicant's name, date of birth, passport information, contact details, employment, and criminal history. If submitted, this information would be used by Japanese immigration authorities to process the visa application and determine the applicant's immigration status and length of stay.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Visa Application Form To Enter Japan: Single

    Uploaded by

    TS Pham
    63 views2 pages
    This document is a visa application form for entering Japan. It collects personal information such as the applicant's name, date of birth, passport information, contact details, employment, and criminal history. If submitted, this information would be used by Japanese immigration authorities to process the visa application and determine the applicant's immigration status and length of stay.

    Original Title

    don xin visa

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    This document is a visa application form for entering Japan. It collects personal information such as the applicant's name, date of birth, passport information, contact details, employment, and criminal history. If submitted, this information would be used by Japanese immigration authorities to process the visa application and determine the applicant's immigration status and length of stay.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views2 pages

    Visa Application Form To Enter Japan: Single

    Uploaded by

    TS Pham
    This document is a visa application form for entering Japan. It collects personal information such as the applicant's name, date of birth, passport information, contact details, employment, and criminal history. If submitted, this information would be used by Japanese immigration authorities to process the visa application and determine the applicant's immigration status and length of stay.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    VISA APPLICATION FORM TO ENTER JAPAN

    (Paste photo here)

    45mm ×45mm
    *Official use only
    or 2in×2in

    Surname (as shown in passport)PHAM


    Given and middle names (as shown in passport)LE ANH TUAN
    Other names (including any other names you are or have been known by)

    Date of birth05/05/1981 Place of birthHO CHI MINH


    (Day)/(Month)/(Year) (City) (State or Province) (Country)
    Sex: Male Female Marital status: Single Married Widowed Divorced
    Nationality or citizenship VIET NAM
    Former and/or other nationalities or citizenships
    ID No. issued to you by your government023339642
    Passport type: Diplomatic Official Ordinary Other Passport No.B7182363
    Place of issueHO CHI MINH CITY Date of issue19/10/2012
    (Day)/(Month)/(Year)
    Issuing authorityIMMIGRATION DEPARTMENT Date of expiry 19/10/2022
    (Day)/(Month)/(Year)
    Purpose of visit to JapanWorking
    Intended length of stay in Japan3 YEARS
    Date of arrival in Japan29/3/2020
    Port of entry into JapanNARITA Name of ship or airlineVN302
    Names and addresses of hotels or persons with whom applicant intends to stay
    NameCMC Japan Co., Ltd. Company Housing Tel.045-263-9230
    Room 202, 16-5 Nishinoya-cho, Naka-ku, Yokohama, Kanagawa Prefecture
    Address
    Dates and duration of previous stays in Japan3/12/2019 ~ 18/1/2020 : 46days
    Your current residential address (if you have more than one address, please list them all)
    95/13 HO NGOC CAN STREET 12 WARDS TAN BINH DISTRICT
    Address
    Tel. Mobile No.0965334554
    E-Mailanhtuanpham2106@gmail.com
    Current profession or occupation and positionCOMPANY EMPLOYEE, SENIOR BSE
    Name and address of employer

    NameCMC JAPAN co., ltd. Tel.045-263-9230


    3 CHOME-7 1,7,NISHI WARD, YOKOHAMA, KANAGAWA 220-0012, JAPAN
    Address
    *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)
    NameNGUYEN THI THU HANG Tel.81903475107
    3 CHOME-7 1,7,NISHI WARD, YOKOHAMA, KANAGAWA 220-0012, JAPAN
    Address
    Date of birth01/08/1976 Sex: Male Female
    (Day)/(Month)/(Year)
    Relationship to applicantDIRECTOR
    Profession or occupation and positionCOMPANY EMPLOYEE, DIRECTOR
    Nationality and immigration statusVIETNAMESE
    Inviter in Japan(Please write 'same as above' if the inviting person and the guarantor are the same)
    NameSAME AS ABOVE Tel.

    Address
    Date of birth Sex: Male Female
    (Day)/(Month)/(Year)
    Relationship to applicant
    Profession or occupation and position
    Nationality and immigration status
    *Remarks/Special circumstances, if any
    Have you ever:
    ● been convicted of a crime or offence in any country? Yes No
    ● been sentenced to imprisonment for 1 year or more in any country?** Yes No
    ● been deported or removed from Japan or any country for overstaying your visa or violating
    any law or regulation? Yes No
    ● been convicted and sentenced for a drug offence in any country in violation of law
    concerning narcotics, marijuana, opium, stimulants or psychotropic substances?** Yes No
    ● engaged in prostitution, or in the intermediation or solicitation of a prostitute for other
    persons, or in the provision of a place for prostitution, or any other activity directly
    connected to prostitution? Yes No
    ● committed trafficking in persons or incited or aided another to commit such an offence? Yes No
    ** Please tick “Yes” if you have received any sentence, even if the sentence was suspended.
    If you answered “Yes” to any of the above questions, please provide relevant details.

    “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.”
    “I hereby consent to the provision of my personal information (by an accredited travel agent, within its capacity of representing
    my visa application) to the Japanese embassy/consulate-general and (entrust the agent with) the payment of my visa fee to the
    Japanese embassy/consulate-general, when such payment is necessary.”

    Date of application27/02/2020 Signature of applicant


    (Day)/(Month)/(Year)
    * It is not mandatory to complete these items.
    Any personal information gathered in this application as well as additional information submitted for the visa application
    (hereinafter referred to as "Retained Personal Information”) will be handled appropriately in accordance with the Act on the
    Protection of Personal Information Held by Administrative Organs (Act No. 58 of 2003, hereinafter, “the Act”). Retained Personal
    Information will only be used for the purpose of processing the visa application and to the extent necessary for the purposes
    stated in Article 8 of the Act.

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