Name *
English Name *
Sex *
Male Female
Date of birth *
Year Month Day
Occupation *
Marital status
Married single
Place of birth
Address in Japan
Telephone No
Past entry into/stay in Japan
No Yes
Education (last school or institution) or present school
Registration
Senior high school Junior college Bachelor Doctor
Registered enrollment
Graduated In school
Name of the school
Date of graduation or expected graduation
Method of support to meet the expenses while in Japan
Remittance from outside Japan yen Self yen
Supporter name
Occupation (Name of employment)
Telephone No.
Supporter address
Annual income
yen
Relationship with the applicant
Plans after graduation
Return to home country Enter a school of higher education in Japan
After last school graduation
Less More than 5 years
Have you stayed in Japan for more than 1 month with a tourist visa before?