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    Questionnaires

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    Mei A. Orcena
    This document contains a questionnaire for travelers arriving in Japan. It asks for the traveler's name, date of birth, nationality, and passport number. It then asks if the traveler has visited or plans to visit several regions including China, South Korea, Iran, Italy, and San Marino in the last 14 days. Any false declarations are subject to refusal of a visa, nullification of an issued visa, imprisonment, fines, loss of residency status, or deportation from Japan.

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    Questionnaires

    Uploaded by

    Mei A. Orcena
    7 views1 page
    This document contains a questionnaire for travelers arriving in Japan. It asks for the traveler's name, date of birth, nationality, and passport number. It then asks if the traveler has visited or plans to visit several regions including China, South Korea, Iran, Italy, and San Marino in the last 14 days. Any false declarations are subject to refusal of a visa, nullification of an issued visa, imprisonment, fines, loss of residency status, or deportation from Japan.

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    This document contains a questionnaire for travelers arriving in Japan. It asks for the traveler's name, date of birth, nationality, and passport number. It then asks if the traveler has visited or plans to visit several regions including China, South Korea, Iran, Italy, and San Marino in the last 14 days. Any false declarations are subject to refusal of a visa, nullification of an issued visa, imprisonment, fines, loss of residency status, or deportation from Japan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    7 views1 page

    Questionnaires

    Uploaded by

    Mei A. Orcena
    This document contains a questionnaire for travelers arriving in Japan. It asks for the traveler's name, date of birth, nationality, and passport number. It then asks if the traveler has visited or plans to visit several regions including China, South Korea, Iran, Italy, and San Marino in the last 14 days. Any false declarations are subject to refusal of a visa, nullification of an issued visa, imprisonment, fines, loss of residency status, or deportation from Japan.

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    QUESTIONNAIRES

    NAME: □ MALE □ FEMALE


    DATE OF BIRTH:

    NATIONALITY:

    PASSPORT NUMBER:

    Please answer the following questions by checking the applicable boxes.

    Q1: Have you travelled to any of the regions listed below within 14days before arrival day in Japan?

    □ Yes □ No

    Q2: After receiving visa, do you have any plan to stay in any of the regions listed below within 14
    days before your arrival day in Japan?

    □ Yes □ No

    People’s Republic of China Hubei Province/ Zhejiang Province

    Daegu/ Gyeongsangbuk-do (Gyeongsan-si/Andong-si/


    Republic of Korea Yeongcheon-si/Chilgok-gun/ Uiseong-gun/ Seongju-
    gun/Cheongdo-gun/Gunwi-gun)
    Qom Province/ Tehran Province/
    Gilan Province/Mazandaran Province/Isfahan
    Islamic Republic of Iran Province/Alborz Province/Markazi Province/Qazvin
    Province/Semnan Province/Golestan Province/Lorestan
    Province

    Italian Republic Lombardia/Veneto/Emilia=Romagna/Marche/Piemonte

    Republic of San Marino All Round

    DATE:

    SIGNATURE:

    Any false declaration above will be subject to refusal of visa issuance, and then new visa
    application will not be accepted for six months for the same purpose of visit. The visa will
    be made null and void when such false declaration is revealed after the visa issued.

    Any false declaration upon landing in Japan may be subject to punitive measures
    including imprisonment(less than three years), imposition of fine(less than three million
    yen), revoking of residential status as well as deportation from Japan.

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