Transcription of 日本国政府法務省 記入例 2016年10月1日現在 日本 …
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日本国政府法務省 記入例 2016年10月1日現在 日本 …
For applicant, part1 Ministry of Justice,Government of Japan To the Director General ofRegional Immigration Bureau1 2 Nationality/RegionDate of birthDayFamily nameGiven name3 Name4 5 6 SexMale/FemalePlace of birthMarital status7 8 OccupationHome town/city9 Address in Japan Telephone phone (1) (2) PassportNumberDate of expirationDay11 Status of residencePeriod of stay Date of expirationDay12 Residence card number13 Desired length of extension( It may not be as desired after examination.)14 Reason for extension15 Criminal record (in Japan / overseas) Yes( Detail:)/No16 Family in Japan(Father, Mother, Spouse, Son, Daughter, Brother, Sister or others) or co-residents Note : Please fill in forms required for application.
別記第三十号の二様式（第二十一条関係） 申請人等作成用1 日本国政府法務省 For applicant, part1 Ministry of Justice,Government of Japan
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