VISA APPLICATION FORM TO ENTER JAPAN 2025-2026

Surname (as shown in passport)

Given and middle names (as shown in passport)

Other names (including any other names you are or have been known by)

Date of birth

Date

Place of Birth

City, State of Province, Country)

Marital Status

SingleMarriedWidowedDivorced

Sex

MaleFemale

Nationality or citizenship

Former and/or other nationalities or citizenships

ID No. issued to you by your government

Passport type: Diplomatic

OfficialOrdinaryOther

Passport No.

Place of issue

Date of issue

(Day)/(Month)/(Year)

Issuing authority

Date of expiry

(Day)/(Month)/(Year)

Certificate of Eligibility No.

Purpose of visit to Japan/Status of residence

Intended length of stay in Japan

Date of arrival in Japan

(Day)/(Month)/(Year)

Port of entry into Japan

Name of ship or airline

Names and addresses of hotels or persons with whom applicant intends to stay

Name

Tel.

Example 0917-134-5254

Address

Dates and duration of previous stays in Japan

(Day)/(Month)/(Year)

Your current residential address (if you have more than one address, please list them all)

Address

Tel.

Mobile No.

E-Mail

example@example.com

Current profession or occupation and position

Name and address of employer

Name

Tel.

Address

(Note)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)

Name

Tel.

Address

Date of Birth

Date

Sex

MaleFemale

Relationship to applicant

Profession or occupation and position

Nationality and immigration status

Inviter in Japan(Please write 'same as above' if the inviting person and the guarantor are the same)

Name

Tel.

Address

Date of birth

(Day)/(Month)/(Year)

Sex

MaleFemale

Relationship to applicant

Profession or occupation and position

Nationality and immigration status

(Note)Remarks/Special circumstances, if any

been convicted of a crime or offence in any country?

YesNo

been sentenced to imprisonment for 1 year or more in any country?(Note 2)

YesNo

been deported or removed from Japan or any country for overstaying your visa or violatingany law or regulation?

YesNo

been convicted and sentenced for a drug offence in any country in violation of lawconcerning narcotics, marijuana, opium, stimulants or psychotropic substances?(Note 2)

YesNo

engaged in prostitution, or in the intermediation or solicitation of a prostitute for otherpersons, or in the provision of a place for prostitution, or any other activity directlyconnected to prostitution?

YesNo

engaged in prostitution, or in the intermediation or solicitation of a prostitute for otherpersons, or in the provision of a place for prostitution, or any other activity directlyconnected to prostitution?

YesNo

been deported or removed from Japan or any country for overstaying your visa or violating

been convicted and sentenced for a drug offence in any country in violation of law

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

committed trafficking in persons or incited or aided another to commit such an offence?

YesNo

(Note 2) 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 application (Day)/(Month)/(Year) (Note)It is not mandatory to complete these items.

(Day)/(Month)/(Year)

Signature

Any personal information filled in this application form as well as additional personal information submitted for the visa
application (hereinafter referred to as "Retained Personal Information?) will be handled appropriately by the Ministry of Foreign
Affairs of Japan (including Japanese overseas establishments) in accordance with the Act on the Protection of Personal
Information (Act No. 57 of 2003, hereinafter, ?the Act?). Retained Personal Information will only be used to the extent necessary
for the purpose of processing the visa application (including providing personal information to the transportation company
which you are going to travel with, or the alternative transportation company which you are going to travel with due to
unforeseen circumstances), immigration control, international cooperation and for other purposes in compliance with Article 69
of the Act

VISA APPLICATION FORM TO ENTER JAPAN

Have you ever: