sample visa application form to enter japan - Temple University ...

SAMPLE VISA APPLICATION FORM TO ENTER JAPANName in full SmithSallie MayDifferent name used N/ADate & place of birth 01/01/1979 Philadelphia, PA USASex Female Marital status married single √Nationality or citizenshipUnited States of AmericaFormer nationality, if any N/APurpose of journey to JapanStudyLength of stay intended6 monthsRoute of present journey: Probable date of entry 01/09/11Port of entry Narita Name of ship or airline Continental AirlinesPassport (...) United States (if dual, list the one used on your COE application)No. 1234567 CIRCLE “Ordinary” Issued at New Orleans on 05/15/2006Issuing Authority United States Passport Agency Valid until 05/14/2016NEWER PASSPORTS are usually just “Dept. of State” b/c no city is listed.Criminal record, if any NoneHome Address 123 Main Street, Apt. 1Philadelphia, PA 19111 Tel 215-555-5555Profession or occupation StudentName and address of firm or organization Temple University Law Program in Japan4-1-27 Mita Hall, Minato-ku, Tokyo 108-0073, JapanTelephone: 81-3-5441-9841Post or rank held at presentPrincipal former positionsStudentStudentAddress of hotels (list your own accommodation if arranged, or see list for short-termhousing, or list TUJ as last resort)Dates / durations of previous stays in Japan 07/23/2004 – 07/31/2004CIRCLE “Reference” in Japan Name: Sumi SakataAddress Temple University Law Program in Japan, 4-1-27 Mita Hall, Minato-ku,Tokyo 108-0073, Japan Telephone 03-5441-9841Relationship to applicant Professor and Program Director

[SAMPLE –ENGLISH-]VISA APPLICATION FORM TO ENTER JAPANName in fullKNEDDYDifferent name used, if any(Surname)Surname should be capitalized.John Firzgeraid(Given and middle name)nonePlease print.(Paste a photo here)approx. 45mm ×45mm2in×2inDate and place of birth 15 April 1970 : Skipton Yorkshire United Kingdom(Day) (Month) (Year) (City) (Province) (Country)Sex Male Marital status: married × singleNationality or citizenshipFormer nationality, if anyAmericaUnited KingdomPlease paste a photo here. (DoNOT staple.)Purpose of journey to Japan to visit relativesLength of stay in Japan intended 15 daysPlease clarify as concrete aspossible.The photo should be clear andidentifiable, taken within theRoute of present journey : Probable date of entry May 25, 2007last 6 months.Port of entry into Japan Narita AP Name of ship or airline JAL-006Passport(Refugee or stateless should note the title of Travel Document)No. A11223344 Diplomatic, Official, Ordinary Issued at Boston on March 10,2007Issuing authority U.S.Dept. of State Valid until March 10, 2012Criminal record, if anynoneIf not applicable, please write “none” or “N/A”.Home address321 East Maple Street, Los Angeles, California 90012, United States of AmericaPlease write accurately. (Phone numbers should Tel. start from the area code.)Profession or occupationCompany EmployeeName and address of firm or organization to which applicant belongs America Trade Inc.654 Park, Avenue, New York , N. Y. 10171, U. S. A. Tel. (212) 333-8888Post or rank held at present Assistant DirectorPrincipal former positions Section ChiefPlease write accurately.(Phone numbers shouldstart from the area code.)Please *Partner’s write Profession/occupation accurately. (or Parents’ Profession/occupation)In case the applicant is a dependant.(Phone Address numbers of hotels should or names start and from addresses the area of persons code.) with whom applicant intends to stayHotel Kayu Kaikan, 8-1, Sanbancho, Chiyoda-ku, Tokyo 102 (03)3230-1230Dates and duration of previous stays in Japan February 4 – April 3, 2007, 3 monthGuarantor or reference in Japan : Name Mr. Roberr TaylorAddress 2-2-1, Kasumigaseki, Chiyoda-ku, Tokyo 100 Tel. (03)3230-1111Please write accurately.(Phone numbers shouldstart from the area code.)Relationship to applicantbrother in law*(Remarks) Special circumstances, if anyIn case the applicant has humanitarian reasons should be considered.I hereby declare that the statement given above is true and correct. I understand that immigration status and period of stay tobe granted are decided by the Japanese immigration authorities upon my arrival. I understand that possession of a visa does notentitle the bearer to enter Japan upon arrival at port of entry if he or she is found inadmissible.Date of application 25 April 2007(Day) (Month) (Year)Signature of applicant*These items are not essential to be filledKNEDDYIn case of an infant, parents or alegal representative can sign here.Please indicate the relationship.(eg. Signed by mother)