令和7年5月21日号外第11号および申請書様式
令和7年5月21日|p.97
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97 令和7年5月21日 水曜日 (号外第11号)
2. Child pertaining to the application
English
Last name
Middle name (if any)
First name
Name
Japanese
(Chinese
character,
if possible)
Other
(if any)
language
Alias (if any)
Last name
Language
Last name
Last name
First name
Middle name (if any)
First name
First name
Date of birth
Day
Month
Year
Nationality
Place of birth
(if Japanese, registered
domicile)
Country
Address
Sex
Male
unable to be made
Habitual residence
immediately before
the contact became
Country
Address
Length of residence and other relevant information about child's habitual residence
□ Female
(if known)
or residence
Current domicile
Telephone no.
Mobile
telephone no.
Fax no.
E-mail address
Passport
Identity card
passport information)
(only if you cannot provide
(Please provide information
of all passports possessed.)
Country
Address
Country Code
+(
(0)
Country Code
+(
(0)
Country Code
+(
(0)
Issuing country
No.
(9
Type of identity card
Issuing country and organization
Height
Weight
Description
Other
10
10
No.
Color of hair
Expiry date
Day
Year
Month Year
11
11
Expiry date
Year
Month
Day Month Year
11
11
Color of eyes
identify the
whereabouts
Other useful
information to
e.g.: Persons who might be able to provide addition:al information (name, address, telephone no., e-mail
address, relation with the child), school, nursery or hospital where the child may attend or visit, etc.