Credit analysis form
Full Name
*
Birthday
*
-
Year
-
Month
Day
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Phone number
*
E-mail
*
Postal code
*
Address
*
Type of housing
*
Own house
Apartment
How long do you live in this place?
*
Do you pay house loan or rent?
*
YES
NO
Marital status
*
Single
Married
Spouse's name / Emergency contact
Spouse's phone number / Emergency contact
Who is the head of the family?
*
How many children and adults live in the same address?
*
Health Insurance
*
Shakai hoken
Kokumin Hoken
Don't have
Visa
*
Resident
Permanent
Japanese citizenship
Work Contract
*
Haken Shain
Keiyaku Shain
Sei Shain
Kind of work
*
How long have you been working at this place?
*
Annual income
*
Contractor's name
Contractor's postal code
Contractor's address
Contractor's phone
Name of the company you work for
*
Address and postal code of the company you work for
*
Phone number of the company you work for
*
How many people works in this place?
*
Less than 5 people
More than 5 people
More than 100 people
More than 500 people
More than 1000 people
Do you have a guarantor for the loan?
YES
NO
How long do you intend to finance?
*
24 months (2 years)
36 months (3 years)
48 months (4 years)
60 months (5 years)
72 months (6 years)
84 months (7 years)
120 months (10 years)
Zairyu Card picture (front and back)
*
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Driver's license picture (front and back)
*
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Health insurance card picture (front and back)
*
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Any document or card that shows your FULL NAME in KATAKANA (bank card, bank notebook, any clinic card, etc...)
*
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Submit
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