Please enter accurate information based on your passport or other information on the document issued by any public institution
Basic Information
Item | Notes |
Name | Please enter your name as it appears on your passport in alphabetical characters |
Birth Date | Tap the input area to display the candidate year, month, and day. Scroll to select one |
Nationality | Please select your nationality indicated in your passport |
Sex | Please select the sex indicated in your passport |
Marital Status | Select Yes if you currently have a spouse, or No if you do not |
Photograph for ID cards, etc. |
Upload a certified photograph to be attached to the application documents. Uploaded files can only be in image format (PNG, JPG, JPEG).
Please ask your school if you are required to wear any religious or medical attire |
Passport Information and others
Item | Notes |
Passport Number | Please enter your current passport number exactly as it appears on your passport |
Expiration date | Please enter the exact expiration date of your current passport. Tap the input area to display the candidate year, month, and date. Scroll to select one |
Career paths after graduation | Please select the appropriate options for your planned post-graduation career |
Resident Card Number | Please enter your current resident card number correctly |
Date of Expiration | Enter the expiration date of your current resident card. Tap the input area to display the candidate year, month, and date. Scroll to select one |
Period of Stay | Please select and enter the period of stay indicated on your current resident card |
Desired period of stay | Please select and enter the desired period of stay. Specifically, the following is required
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The reason to extent the Status of residence | Enter the reason for the renewal. Generally, the following information should be provided. For details, please contact the school
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Your Contact
Item | Notes |
Email Address | Please enter an email address where you can be easily contacted |
Telephone Number | Please enter a phone number where we can reach you |
Mobile Phone Number | Please enter a cell phone number where we can reach you |
Emergency Contact
Item | Notes |
Name | Enter the name of the person to be contacted in emergency |
Email Address | Enter the Email address of the person to be contacted in emergency |
Telephone Number | Enter the Telephone Number of the person to be contacted in emergency |
Address | Enter the address of the person to be contacted in emergency |
Relationship | Enter the relationship between you and the person to be contacted in emergency |
Your Current Address
Please enter it indicated in your resident card
Item | Notes |
Postal Code | Enter the zip code of your current address. It is in the form xxx-xxxx with single-byte numbers |
Prefecture | Please select the Prefecture of your current address |
City/Word | Please enter the City/word of your current address |
Below the street address | Please enter below the street address of your current address |
Name of Building | Please enter below the name of building of your current address if you have |
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