visa application form to enter japan - Embassy of Japan in Kenya
visa application form to enter japan - Embassy of Japan in Kenya
visa application form to enter japan - Embassy of Japan in Kenya
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Surname (as shown <strong>in</strong> passport)<br />
Given and middle names (as shown <strong>in</strong> passport)<br />
Date <strong>of</strong> birth Place <strong>of</strong> birth<br />
Nationality or citizenship<br />
ID No. issued <strong>to</strong> you by your government<br />
Passport type: Diplomatic Official Ord<strong>in</strong>ary Other<br />
Passport No.<br />
Issu<strong>in</strong>g authority<br />
Name<br />
Address<br />
VISA APPLICATION FORM TO ENTER JAPAN<br />
Sex: Male Female<br />
Marital status: S<strong>in</strong>gle Married Widowed Divorced<br />
Former and/or other nationalities or citizenships<br />
Place <strong>of</strong> issue<br />
Purpose <strong>of</strong> visit <strong>to</strong> <strong>Japan</strong><br />
Date <strong>of</strong> arrival <strong>in</strong> <strong>Japan</strong><br />
Dates and duration <strong>of</strong> previous stays <strong>in</strong> <strong>Japan</strong><br />
*Official use only<br />
Other names (<strong>in</strong>clud<strong>in</strong>g any other names you are or have been known by)<br />
Intended length <strong>of</strong> stay <strong>in</strong> <strong>Japan</strong><br />
Port <strong>of</strong> entry <strong>in</strong><strong>to</strong> <strong>Japan</strong> Name <strong>of</strong> ship or airl<strong>in</strong>e<br />
Name<br />
Address<br />
Address<br />
(Day)/(Month)/(Year)<br />
Tel. Mobile No.<br />
Current pr<strong>of</strong>ession or occupation and position<br />
(City) (State or Prov<strong>in</strong>ce) (Country)<br />
Names and addresses <strong>of</strong> hotels or persons with whom applicant <strong>in</strong>tends <strong>to</strong> stay<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Your current residential address (if you have more than one address, please list them all)<br />
Name and address <strong>of</strong> employer<br />
Tel.<br />
Tel.<br />
(Paste pho<strong>to</strong> here)<br />
45mm ×45mm<br />
or 2<strong>in</strong>×2<strong>in</strong><br />
(Day)/(Month)/(Year)<br />
(Day)/(Month)/(Year)
*Partner's pr<strong>of</strong>ession/occupation (or that <strong>of</strong> parents, if applicant is a m<strong>in</strong>or):<br />
Guaran<strong>to</strong>r or reference <strong>in</strong> <strong>Japan</strong>(Please provide details <strong>of</strong> the guaran<strong>to</strong>r or the person <strong>to</strong> be visited <strong>in</strong> <strong>Japan</strong>)<br />
Name Tel.<br />
Address<br />
Date <strong>of</strong> birth<br />
Relationship <strong>to</strong> applicant<br />
Pr<strong>of</strong>ession or occupation and position<br />
Nationality and immigration status<br />
Inviter <strong>in</strong> <strong>Japan</strong>(Please write 'same as above' if the <strong>in</strong>vit<strong>in</strong>g person and the guaran<strong>to</strong>r are the same)<br />
Name Tel.<br />
Address<br />
Date <strong>of</strong> birth<br />
Relationship <strong>to</strong> applicant<br />
Nationality and immigration status<br />
*Remarks/Special circumstances, if any<br />
Have you ever:<br />
(Day)/(Month)/(Year)<br />
(Day)/(Month)/(Year)<br />
Pr<strong>of</strong>ession or occupation and position<br />
● been convicted <strong>of</strong> a crime or <strong>of</strong>fence <strong>in</strong> any country? Yes No<br />
● been sentenced <strong>to</strong> imprisonment for 1 year or more <strong>in</strong> any country?**<br />
● been deported or removed from <strong>Japan</strong> or any country for overstay<strong>in</strong>g your <strong>visa</strong> or violat<strong>in</strong>g<br />
any law or regulation?<br />
● been convicted and sentenced for a drug <strong>of</strong>fence <strong>in</strong> any country <strong>in</strong> violation <strong>of</strong> law<br />
concern<strong>in</strong>g narcotics, marijuana, opium, stimulants or psychotropic substances?**<br />
● engaged <strong>in</strong> prostitution, or <strong>in</strong> the <strong>in</strong>termediation or solicitation <strong>of</strong> a prostitute for other<br />
persons, or <strong>in</strong> the provision <strong>of</strong> a place for prostitution, or any other activity directly<br />
connected <strong>to</strong> prostitution?<br />
● committed traffick<strong>in</strong>g <strong>in</strong> persons or <strong>in</strong>cited or aided another <strong>to</strong> commit such an <strong>of</strong>fence?<br />
** Please tick “Yes” if you have received any sentence, even if the sentence was suspended.<br />
If you answered “Yes” <strong>to</strong> any <strong>of</strong> the above questions, please provide relevant details.<br />
Date <strong>of</strong> <strong>application</strong> Signature <strong>of</strong> applicant<br />
(Day)/(Month)/(Year)<br />
* It is not manda<strong>to</strong>ry <strong>to</strong> complete these items.<br />
Sex: Male Female<br />
Sex: Male Female<br />
Yes No<br />
Yes No<br />
Yes No<br />
Yes No<br />
Yes No<br />
“I hereby declare that the statement given above is true and correct. I understand that immigration status and period <strong>of</strong> stay <strong>to</strong><br />
be granted are decided by the <strong>Japan</strong>ese immigration authorities upon my arrival. I understand that possession <strong>of</strong> a <strong>visa</strong> does not<br />
entitle the bearer <strong>to</strong> <strong>enter</strong> <strong>Japan</strong> upon arrival at port <strong>of</strong> entry if he or she is found <strong>in</strong>admissible.”<br />
“I hereby consent <strong>to</strong> the provision <strong>of</strong> my personal <strong>in</strong><strong>form</strong>ation (by an accredited travel agent, with<strong>in</strong> its capacity <strong>of</strong> represent<strong>in</strong>g<br />
my <strong>visa</strong> <strong>application</strong>) <strong>to</strong> the <strong>Japan</strong>ese embassy/consulate-general and (entrust the agent with) the payment <strong>of</strong> my <strong>visa</strong> fee <strong>to</strong> the<br />
<strong>Japan</strong>ese embassy/consulate-general, when such payment is necessary.”<br />
Any personal <strong>in</strong><strong>form</strong>ation gathered <strong>in</strong> this <strong>application</strong> as well as additional <strong>in</strong><strong>form</strong>ation submitted for the <strong>visa</strong> <strong>application</strong><br />
(here<strong>in</strong>after referred <strong>to</strong> as "Reta<strong>in</strong>ed Personal In<strong>form</strong>ation”) will be handled appropriately <strong>in</strong> accordance with the Act on the<br />
Protection <strong>of</strong> Personal In<strong>form</strong>ation Held by Adm<strong>in</strong>istrative Organs (Act No. 58 <strong>of</strong> 2003, here<strong>in</strong>after, “the Act”). Reta<strong>in</strong>ed Personal<br />
In<strong>form</strong>ation will only be used for the purpose <strong>of</strong> process<strong>in</strong>g the <strong>visa</strong> <strong>application</strong> and <strong>to</strong> the extent necessary for the purposes<br />
stated <strong>in</strong> Article 8 <strong>of</strong> the Act.