官報号外および氏名・パスポート情報入力フォーム
令和7年5月21日|p.98
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帝和7年5月21日水曜日官報(号外第111号)98
3. Person who is considered to be interfering with contact with the child
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
Relation with the child
□ Father
Place of birth
(if Japanese, registered
domicile)
Country
(if known)
Domicile or residence
Country
Mother
□□
Address
Address
Telephone no.
Mobile
telephone no.
Fax no.
E-mail address
Passport
(Please provide information
of all passports possessed.)
Country code
+(
Country code
+(
Country code
+(
) - (0)
) - (0)
) - (0)
Issuing country
No.
Height
Weight
Description
Other
Occupation
Other (
□□
--
000
--
000
--
(9
11
Color of hair
Expiry date
Year
Month
Day
11
Color of eyes
11
Claim of domestic
violence
Living with the
child
identify the
Other useful
whereabouts
information to
] This person is claiming or might claim to be a victim of domestic violence.
This person is not claiming and will not claim to be a victim of domestic violence.
This person lives or may live together with the child.
This person does not live together with the child.
address, relation with this person), place of work, etc.
e.g.: Persons who might be able to provide addition:al information (name, address, telephone no., e-mail