All the Blanks Below Must Be Completed

VISA Questionnaire

All the blanks below must be completed.

Please make sure that your mailing address is correct because the letter will be sent to the address.

Accompanying person(s) must submit this form as well.

[Applicant’s Information]

Full Name / In English as is passport / In Chinese character (Chinese people only)
Date of Birth / Age as of application
(Day) / (Month) / (Year)
Sex / Male / Female / Nationality
Mailing Address
Office Phone / + / Home Phone / +
Affiliation / In English / In Chinese character
Job title / Occupation
Embassy or consulate-general
where you will be applying for visa.
InquiryNo.

[Flight and Accommodation Information]

Expected arrival date to Japan / Expected departure date from Japan
Arrival Flight to Japan (No need to indicate a connecting flight, an immediate flight arriving in Japan only.)
AirlineName / Flight No.
Departure Airport / Arrival Airport
Return Flight (Immediate return flight from Japan.)
Airline Name / Flight No.
Departure Airport / ArrivalAirport
Accommodation
Hotel
① / Name / Date In / Date Out
Address / Phone
Hotel
② / Name / Date In / Date Out
Address / Phone
Hotel
③ / Name / Date In / Date Out
Address / Phone

Itinerary in Japan

See the sample below the form.

Applicant’s Name: ______

Accompanying Person’s Name: ______

Date / Activity Plan / Contact / Accommodation

Itinerary in Japan (Sample)

Date / Activity Plan / Contact / Accommodation
Sep. 24, 2018 / Arrive atSendai international airport from Beijing capital international airport (JL860) / Hotel Metropolitan Sendai
1-1-1 Aoba-ku Chuo, Sendai
Tel: 022-267-2246
Sep. 25, 2018
to
Sep. 28, 2018 / Attend JCS-14 Conference. / ScienceCampus Hall at Aobayama East Campus of Tohoku University
6-6-01-2 Aramaki-aza-aoba, Aoba-ku, Sendai
Tel: 022-795-7924 / Same as above
Sep. 29, 2018 / Departure from Sendai international airportto Beijing capital international airport (JL869)