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    T Khai Visa-Trang-2

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    phongchauit9

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    © All Rights Reserved
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    T Khai Visa-Trang-2

    Uploaded by

    phongchauit9
    3 views1 page

    Original Title

    Tờ khai visa-trang-2

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    Copyright:

    © All Rights Reserved
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    3 views1 page

    T Khai Visa-Trang-2

    Uploaded by

    phongchauit9

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    *Partner's profession/occupation (or that of parents, if applicant is a minor):

    NO
    Guarantor or reference in Japan(Please provide details of the guarantor or the person to be visited in Japan)
    Name SYOUSEI.CO.,LTD Tel. 0797234747

    2-1-204 FUNADO ASHIYA HYOGO JAPAN


    Address
    Date of birth NO Sex: Male Female
    (Day)/(Month)/(Year)
    Relationship to applicant LAND SUPPLIER
    Profession or occupation and position NO
    Nationality and immigration status JAPANESE
    Inviter in Japan(Please write 'same as above' if the inviting person and the guarantor are the same)
    Name SAME AS ABOVE Tel.

    Address
    Date of birth Sex: Male Female
    (Day)/(Month)/(Year)
    Relationship to applicant
    Profession or occupation and position
    Nationality and immigration status
    *Remarks/Special circumstances, if any
    Have you ever:
    ● been convicted of a crime or offence in any country? Yes No
    ● been sentenced to imprisonment for 1 year or more in any country?** Yes No
    ● been deported or removed from Japan or any country for overstaying your visa or violating
    any law or regulation? Yes No
    ● been convicted and sentenced for a drug offence in any country in violation of law
    concerning narcotics, marijuana, opium, stimulants or psychotropic substances?** Yes No
    ● engaged in prostitution, or in the intermediation or solicitation of a prostitute for other
    persons, or in the provision of a place for prostitution, or any other activity directly
    connected to prostitution? Yes No
    ● committed trafficking in persons or incited or aided another to commit such an offence? Yes No
    ** Please tick “Yes” if you have received any sentence, even if the sentence was suspended.
    If you answered “Yes” to any of the above questions, please provide relevant details.

    “I hereby declare that the statement given above is true and correct. I understand that immigration status and period of stay to
    be granted are decided by the Japanese immigration authorities upon my arrival. I understand that possession of a visa does not
    entitle the bearer to enter Japan upon arrival at port of entry if he or she is found inadmissible.”
    “I hereby consent to the provision of my personal information (by an accredited travel agent, within its capacity of representing
    my visa application) to the Japanese embassy/consulate-general and (entrust the agent with) the payment of my visa fee to the
    Japanese embassy/consulate-general, when such payment is necessary.”

    Date of application Signature of applicant


    (Day)/(Month)/(Year)
    * It is not mandatory to complete these items.
    Any personal information gathered in this application as well as additional information submitted for the visa application
    (hereinafter referred to as "Retained Personal Information”) will be handled appropriately in accordance with the Act on the
    Protection of Personal Information Held by Administrative Organs (Act No. 58 of 2003, hereinafter, “the Act”). Retained Personal
    Information will only be used for the purpose of processing the visa application and to the extent necessary for the purposes
    stated in Article 8 of the Act.

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