Application Form List
□ 経費支弁者が海外在住の場合 (In the case that the sponsor is not living in Japan)

提出書類 Documents to be submitted
1 入学願書Application for Admission

2 写真４枚

4 Photos (3cm×4cm)

Check
Use our form.

3 履歴書 Personal Records
4

Use our form.

卒業証書 Certificate of the Graduation fromHigh School, College, or University (Original)

5 成績証明書 Academic transcript
日本語学習証明書 Certificate of the Japanese Study
6 (In the case that the applicant’s highest graduation is high school,a certificate of JLPT, J-TEST, NAT-TEST or TOPJ-TEST is required.)
7 経費支弁書 Sponsorship Declaration (Letter of Paying Expenses)
8

支弁者と申請者との関係証明書 Certificate of the Relationship
Between the Sponsor and the Applicant

9 銀行預金残高証明書 Certificate of Bank Deposit
10(over US$ 30,000)

預金通帳のコピー Copy of the Record of the Sponsor’s Bank Account(last 1 year)

11 支弁者の在職証明書 Certificate that the Sponsor is in office
12 支弁者の収入証明書 Certificate of the Sponsor’s Income (last 3 years)1314
15

営業許可書 Certificate of the Business License(In the case that the sponsor is doing business on his/her own)
納税証明書 Certificate of the Taxation(last 3 years)(In the case that the sponsor is doing business on his/her own)
パスポートのコピー Copy of the Applicant’s Passport

Use our form.

Application Form List□ 経費支弁者が日本在住の場合 (In the case that the sponsor is living in Japan)

提出書類 Documents to be submitted
1 入学願書Application for Admission

2 写真４枚

4 Photos (3cm×4cm)

Check
Use our form.

3 履歴書 Personal Records
4

Use our form.

卒業証書 Certificate of Graduation fromHigh School, College, or University (Original)

5 成績証明書 Academic transcript
日本語学習証明書 Certificate of the Japanese Study
6 (In the case that the applicant’s highest graduation is high school,a certificate of JLPT, J-TEST, NAT-TEST or TOPJ-TEST is required.)
7 経費支弁書 Sponsorship Declaration (Letter of Paying Expenses)
経費支弁者の在留カードのコピー
89

A Copy of the Sponsor’s Residence Card
支弁者と申請者との関係証明書 Certificate of theRelationship Between the Sponsor and the Applicant

10 銀行預金残高証明書 Certificate of Bank Deposit
11(over US$ 30,000)

預金通帳のコピー Copy of the Record of the Sponsor’s Bank Account(last 1 year)

12 支弁者の在職証明書 Certificate that the Sponsor is in office
13 支弁者の収入証明書 Certificate of the Sponsor’s Income (last 3 years)
1415

営業許可書 Certificate of the Business License(In the case that the sponsor is doing business on his/her own)
納税証明書 Certificate of the Taxation(last 3 years)(In the case that the sponsor is doing business on his/her own)

16 パスポートのコピー Copy of the Applicant’s Passport

Use our form.

公益財団法人 ラボ国際交流センター
外国人のためのラボ日本語教育
LABO JAPANESE LANGUAGE COURSE for FOREIGNERS

この欄には記入しないこと。
Please do not write in the space below
受付番号課

入 学 願 書

程月生

受付年月日

年

月

APPLICATION FOR ADMISSION
写 真
Photograph(4.5cm×4.5cm)① 氏 名 ：
Full Name
Last(In Roman Letters)

FirstMiddle② 国 籍 ：
Nationality③ 生年月日： １９
Date of Birth

年月日Year MonthDay④ 旅券番号：

年齢：Age

有効期限：

Passport number

Sex

Male Female

年月日

Date of Expiration

YearMonthDay

発行年月日：
Date of Issue

年
Year月Month日Day⑤ 本国の住所：Home Address
電話番号：
Telephone number⑥ 日本での住所： 郵便番号

性別： □男・□女－Address in Japan Postal Code (or Zip Code)

電話番号：
Telephone number日

⑦ 日本語習得後の予定 Plans after Studying Japanese【】進学→
Continue to study in Japan【】帰国
Return home【】その他
Others【【【【】大学院 Postgraduate Course】大学 Undergraduate Course】短大 Junior College】専門学校 Technical Vocational School→⑧ 学歴 Educational Background
学校名
Name of School

所在地
Address

小学校
Elementary School
中学校
Junior High School高等学校
High School
大学
College / University
その他
Others

修学期間 Period
Year Month
自 from年
月
至 to年
月
自 from年
月
至 to年
月
自 from年
月
至 to年
月
自 from至 to
自 from
至 to

年
年
年
年

月
月
月
月

⑨ 職歴 Employment History
勤務先
Name of Employer

所在地
Address

職種
Type of Work

勤務期間 Period
Year Month
自 from年
月
至 to年
月
自 from年
月
至 to年
月
自 from至 to⑩ 兵役 Military History【】終了

Completed年

月
Month年月
YearMonthYear【】終了予定Expected completion【】その他

Other remarks

年
年

月
月

⑪ 在日歴 Previous Stay(s) in Japan
入国年月日
Date of Entry
Year Month Day
年月日Year Month年
月Day日

Year Month
年
月Day日

Year Month年
月

Day
日

入国目的
Purpose

在留資格
Status

在留期間
Period of Stay

⑫ 日本語学習歴 Previous Study of Japanese
日本語学習機関名
Name of Institution

学習期間 Period
Year Month
自 from
年
月
至 to
年
月

所在地Address

自 from至 to
自 from至 to
日本語学習に使用した教材 List the textbook(s) used in studying Japanese.

年
年
年
年

月
月月
月

↓

⑬ 母 語：
Native Language(s)⑭ 他の習得言語：
Other Language(s) Spoken / Studied⑮ 家族 Family
氏名Full Name

続柄Relation

年齢
Age職業
Occupation

国籍
Nationality

居住国
Residing Country

⑯ 日本在住の友人・知人 Friends or Acquaintances Residing in Japan
氏名
Name

関係
Relation

連絡先
Address and Phone〒℡〒℡⑰ 日本在住の縁故者 Relatives Residing in Japan※氏名：
Full Name※生年月日：
Date of Birth※外国人登録証明書番号：
Alien registration certificate number※住所・電話番号：
Address / Telephone number※勤務先／通学先の名称：
Mane of employment / School※申請者との関係：
Relationship※在留資格：
Status of Residence℡

注：縁故者が複数日本に在住する場合は別紙に申告の事。
When you have another relatives living in Japan, declare in another paper.

⑱ 学費・滞在費負担者 Supporter to meet the expenses whole in Japan※氏名：※申請者との関係：
Full Name
Relationship※住所・電話番号：℡
Address / Telephone number※職業（勤務先の名称）
・勤務先電話番号：℡
Occupation (Name of employment) / Telephone number of employment※年収：Annual income

以上の通り相違ありません。
I hereby declare the above statement to be true and correct.
日付：年月日
申請者署名：
DateYear MonthDay
Signature of Applicant

PERSONAL RECORDS
1. NATIONALITY:NAME:Family Name/

2. DATE OF BIRTH:
Year/
MonthGiven Name

BIRTH PLACE:
Day

3. ADDRESS:
4. MARITAL STATUS: □Single□Married (Name of Spouse:)

5. ACADEMIC HISTORY FROM ELEMENTARY SCHOOLName of School

Address

Date ofAdmission

Date ofGraduation(1)////(2)////(3)////(4)////6. PREVIOUS STUDY OF JAPANESE
Name of Institute

Address(1)

Period of Study//～//

7. OCCUPATION CAREER
Name of Company
Occupation

Address

Period of Employment(1)//～//(2)//～//(3)//～//(4)//～//8. PREVIOUS STAY IN JAPAN
Period of Stay in JAPANVisa Status(1)//～//(2)//～//(3)//～//Purpose

9. FAMILY (Father and Mother)
Relationship withName
the Applicant Age

Occupation

Address

10. PLEASE WRITE YOUR PURPOSE FOR STUDYING JAPANESE

11. PLAN AFTER GRADUATION□(1) Enter a School of Higher Level in Japan
Name of the School:

Major:□(2)Find Work in Japan
Name of the Company:

Address:

Type of Business:□(3)Private Business
Address:
Type of Business:
Source of Capital:□(4)OthersI,to the best of my knowledge.

, hereby declare the above statement is true and correct

DATE:YearMonthDaySIGNITURE OF APPLICANT:

Letter of Paying Expenses
To the Minister of JusticeNationality (student)
Name (student)
Date of birthMale / Female

I hereby agree to take the responsibility of paying the expenses of the applicant mentioned
above during his or her stay in Japan.
a) The reason for my bearing the expenses of the above-mentioned applicant and myrelationship with him or her are as follows.

b) I swear to pay the expenses as stated below and I will submit such documents establishing
my payment as a remittance certificate or a copy of the applicant’s bank book which indicatesthe remittance at the time of application for extension of period of residence.
① Tuition: (monthly) (biannual) (annual)¥② Living expenses: (monthly)¥③ Method of payment:

Date:
Payer’s address:
Name and signature:
Relationship with applicant: