在留資格認定証明書交付申請フオームThis is the system to enter a CESR application form.これは在留資格認定証明書（CESR）の申請書を作成するためのシステムです。 Please enter the required items in English or Japanese and click "Confirm".英語または日本語で必要事項を入力して、確認ボタンを押してください。 Note : In case of to be found that you have misrepresented the facts in an application, you will be unfavorably treated in the process.注：申靖書に事実に反する記載をしたことが判明した場合には、不利益な扱いを受けることがあります。 Fill in all required items with * ＊は入力必須項目The information registered on this site will be protected via encrypted transmission (SSL) and will be managed securely by "Soiral", a database-management ASP service provided by PIPED BITS Co.,Ltd., which is certified by JIPDEC Privacy Mark, ISO27001/JIS Q 27001, ISO 2000-1, and ISO 9001 standards.ご登録される情報は、暗号化された通信(SSL)で保護され、プライバシーマークやISO27001/JIS Q 27001, ISO2000-1, ISO9001の認証を取得している株式会社パイプドビッツによる債報管理システム「スパイラル」で安全に管理されます。 Nationality/ Region 1.国籍・地域Nationality/ Region国籍・地域* U.S.A Date of birth 2.生年月日Date of birth生年月日* 2000 Name 3.氏名Please enter your name in the order of Family name, Given name in the same alphabetic characters as shown on your passport.バスポートに記載されているとおり、姓→名の順番に、英字で名前を入力してください。 If you hold a passport issued by the Republic of China, Hong Kong or Taiwan, please enter your name in both alphabetic characters and Chinese characters.中国、香港、台湾のパスポートの方は、英字と漢字の両方で名前を入力してください。 Example/例：KOBE TARO （神戸　太郎） Gender 4.性別Gender性別* Male/男O Female/女● Place of birth 5.出生地Please enter the Country, State (Province) and City where you were born.出生地の国、省/州/県/市を入力してください。 Example/例：China, Beijing Place of birth出生地* Japan, Kobe Marital status 6.配偶首の有無Marital status配偶者の有無* O Married/有Single/無●
Please enter your current job status, not your prospective status at Kobe University現在の職業を記載してください。神戸大学受入後の身分は入力しないでください。 Please enter "unemployed" if there is a period after graduation before you enroll in Kobe University. Example : Graduated in June, 2019 and enrolled in Kobe University in October, 2019大学卒業後、神戸大学入学までに期間がある場合は「無職」と入力してください。例: 2019年6月卒業、2019年10月神戸大学入学Occupation職業＊ Student *Please write 'Student'.
Please make sure to enter the postal address, zip code, country and phone number of your current address. We will send a CESR to the postal address entered in this column. If the place where you currently live is different from the place where you would like to send the Certificate of Residence (CESR), please enter it in the "The address to receive CESR" field. Enter "same" if it is the same as place of residence. A P.O. Box address may not be used.現在住んでいる場所の住所、郵便商号、国名及び電話番号を記入してください。ここに記載の住所に、在留資格認定証明書(CESR)を送付します。現在住んでいる場所と在留資格認定証明書（CESR)送付希望場所が異なる場合は、「在留資格認定書送付場所」機に記入してください。居住地と同じ場合は「同じ」と入力してください。私費番は使用できません。 Home town/ city本国における居住地 * 1300 1st Ave, Seattle, WA 98101 U.S.ATel:+1-000-000-0000 *Please write the address where you live now. International Office, ABC University, 1200 2nd Ave, Seattle, WA 981 The address to receive CESR.在留資格認定証明書送付場所＊ *Basically, we send your CoE to your home university.  So, please write the address of the offide your home universitywhich is in charge of your exchange program.  If you have special reason to ask us to send other place (e.g. to your house), please fill in its address and phone number. Passport 9.旅券If you are currently applying for a passport, please enter "pending".バスポートを現在申請中の場合、「pending」と入力してください。 ABC000 Number (1)旅券番号* Date of expiration (2)旅券有効期限Expected date of your entry into Japan 10.入国予定年月日Month ear 2023 44 15年山万Note: If you are not sure when you arrive in Japan , please enter the following date : For Spring starters: 20**/03/15 For Fall sterters:20**/09/15 Expected date of your entry into Japan入国予定年月日* Port of entry 11.上陸予定港Please enter the name of the airport or port name where you are planning to enter Japan.入国する際の日本の予定空港、港の名前を入力してください。 Example/例: Kansai International Airport Kansai International Airport Port of entry上陸予定港* Note: If you are not sure which airport  you will use to enter Japan, please enter  'Kansai International Airport. Year Honth 2030 1年1月Intended length of stay
Please enter the period for which you have been accepted to Kobe University. Example : 6 months / 1 year / 2 years / 3 years Note: Students staying for 1 semester  enter "6 months".神戸大学での在籍予定期間を入力してください。例：6か月/1年間/2年間/3年間Students sgaying for 2 semesters enter 1 year. Intended length of stay滞在予定期開＊ 6 months Accompanying persons, if any 13.同伴者の有無Accompanying persons, if any同伴者の有無* Yes/有● No/無Intended place to apply for visa
14.蒼証申請予定地
Please enter the city name where you intend to apply for a visa. The city must have a Japanese embassy or consulate. Please refer to the website below.宮廷申請をする日本大使館または総領事館のある市の名前を入力してください。下記のウェブサイトを参照してください。 https://www.mofa.go.jp/about/emb_cons/mofaserv.html Intended place to apply for visa査証申請予定地＊ Seattle, WA Past entry into / stay in Japan 15.日本への過去の出入国歴Have you ever visited or lived in Japan?これまでに日本に来たことがありますか？ Past entry into / stay in Japan日本への過去の出入国歴＊ Yes/有● No/無O If above answer is "yes", please enter details below.上記で『有』を選択した場合は以下に詳細を入力してください。 time(s)回数The latest entry from(start)直近の出入国歴開始The latest entry to(end)直近の出入国歴終了time(s)
同2018年公12 fontl 27 (ear Month 2019月5年1日本
Have you ever applied for a visa certificate so far?これまでに在田病格認定証明書を申請したことがありますか？ Past history of applying for a certificate of eligibility過去の在留資格認定証明書交付申請馬歴＊ ●  Yes/有○ No/無※If this is the first time to apply for CoE, please mark 'No'. ※In case you have applied CoE through other Universities or schools, please mark 'Yes'. If above answer is "yes".上記で『有』を選択した場合time(s)回数time(s)回Of these the number of time of non-issuance.上記のうち不交付となった回数time(s)回数time(s) 0回Criminal record (in Japan/ overseas) 17.犯罪を理由とする処分を受けたことの有無（日本国外におけるものを含む。） ※交通違反等による処分を含む。 Criminal record (in Japan/ overseas)犯罪を理由とする処分を受けたことの有無（日本国外におけるものを含む。）※交通造反等による処分を含む。 * Yes/有O No/無(0 If above answer is "yes", please enter details below.上記で『有』を選択した場合は以下に詳細を入力してください。 Details具体的内容Have you ever departed Japan by deportation or departure order?退去強制または出国命令により日本から出国したことがありますか？ Departure by deportation/ departure order過去強制又は出国命令による出国の有無＊ Yes/有O No/無● If above answer is "yes", please enter details below.上記で『有』を選択した場合は以下に詳細を入力してください。 time(s)
    回time(s)回数The latest departure by deportation直近の送過歴(ear年Month月日Family or co-residents in Japan
19.既に日本に滞在する家族及び同居者の有無
Do you have any family members (Father, Mother, Spouse, Son, Daughter, Brother, Sister, or others) or co-residents living in Japan?日本に住んでいる家族（父、母、配偶者、息子、娘、兄弟、姉妹他）や同居する方がいますか？ Family or co-residents in Japan既に日本に滞在する家族及び同居苔の有無* ( C (0) Yes/有No/無If above answer is "yes", please enter details below.上記で『有』を選択した場合は以下に詳細を入力してください。 First person 1人目Relationship続柄Date of birth生年月日Year
年年月Nationality/ Region国籍・地域○ Yes/有○　No/無Intended to reside with applicant or not同居予定の有無Place of employment/ school勤務先名称・通学先名称Residence card number/ Special Permanent Resident Certificate number在留力一下番号・特別永住者証明Month日本--- Total period of education prior to entering Kobe University (from elementary school to the last institution of education) 20.神戸大学に入る前までの修学年数（小学校〜最終学歴） Years年15 Total period of education prior to entering Kobe University (from elementary school to the last institution of education)神戸大学に入る前までの修学年数(小学校～最終学歴） * Education (last school or institution) or present schoolEducation (last school or institution) or present school 21.最終学歴（又は在学中の学校） Graduated/卒業In school/在学中Present Academic Status現在の在籍状況＊ Temporary absence/体学中Withdrawal/中退Doctor/大学院（博士） O Master/大学院（修士） O Bachelor/大学● Junior college/短期大学O College of technology/専門学校Senior high school/高等学校Junior high school/中学校Elementary school/小学校Others/その他Your status at t the schoolYour status at the school在籍区分* Name of the school学校名* ABC University Date of graduation or expected graduation卒業又は卒業見込み年月 * O ● Month Year 2025 9月年Method of support to pay for expenses while studying at Kobe University  (Please enter living expenses, tuition and rent)* multiple answers possible 22.神戸大学在籍中の経費支弁方法等（生活費、学費及び家貨について記入してください。）※複数選択可Method of support and an amount of support per month (average) (1)支弁方法及び月平均支弁額※複数選択可More than 100,000 yen per month is required.月額100,000円以上必要＊ Self/本人負担
Supporter in Japan/在日経費支弁者負担日H http://web.cla.kobe-u.ac.jp/ group/Kouryu/for-incoming- students.html Yen円Financial supporter  (Please enter the following items when your answer to the question 22(1) is a supporter living outside of or in Japan.) (If there is more than one, give information for all of the supporters)*another paper may be attached, which does not have to use a prescribed format. (2)経費支弁者（上記(1)で在外経費支弁者負担又は在日経費支弁者負担を選択した場合に記入） （複数人いる場合は全てについて記入してください。）※任怠様式の別紙可Name氏名KOBE Taro Address住所123 ABC Street, Seattle, WA98000, USA Telephone No.常話番号+1-00000 Note: The total amount must be over 100,000 JPY. Proofs of financial support which correspond to the method of support you choose here must be uploaded in the final section. Fore more details, please check the Fact sheet. Occupation (place of employment)職業 (勤務先の名称) Engineer (ABC Co. Ltd) Phone number at work勤務先電話番号+1-000000 Annual income (place of employment)年収Yen 4,000,000円The attached file concerning the supporter経費支弁者別紙添付フアイルファイルの選択ファイルが選択されていませんRelationship with the applicant (Check one of the followings when your answer to the question 22(1) is supporter living outside of or in Japan)* multiple answers possible (3)申請人との関係（上記(1)で在外経費支弁者負担又は在日経費支弁者負担を選択した場合に記入）※複数選択可Relationship with the applicant申請人との関係Husband/夫Wife/景■ Father/父のMother/母● Grandfather/祖父● Grandmother/祖母● Foster father/義父■ Foster mother/義母■ Brother/Sister/兄弟姉妹● Uncle/ Aunt/叔父（伯父）・叔母（伯母） 0 Educational institution/受入数育機関■ Friend/ Acquaintance/友人・知人■ Relative of friend/ acquaintance/友人・知人の親族Business connection/ Personnel of local enterprise/取引関係者・現地企業等職員Relative of business connection/ personnel of local enterprise/取引関係者・ ■現地企業等職員の親族Others/その他■ Organization which provide scholarship (Check one of the following when the answer to the question 22(1) is
Organization which provide scholarship奨学金支給機関Foreign government/外国政府S Japanese government/日本国政府0 Local government/地方公共団体□ Public interest incorporated association/Public interest incorporated foundation/公益社団法人又は公益財団法人XXX Scholarship for Students Others/その他ABC University
Plans after graduation or completion of the program at Kobe University
23.神戸大学卒業後またはプログラム修了後の予定
Please select "Enter a school of higher education in Japan", if you would like to enter the Graduate School soon after completion of a Research Student period.研究生が研究期間終了後，すぐに大学院に進学を希望する場合は，「日本での進学」を選択してください。 Note: Exchange students must choose "Return to home country". Plans after graduation or completion of the program at Kobe University神戸大学卒業後またはプログラム修了後の予定* Return to home country/帰国(0) Enter a school of higher education in Japan/日本での進学( ) Find work in Japan/日本での就職Others/その他Digital Photo顔写真＊ Note: *It is preferable to submit high- quality digital photo data in formats such as "jpg" or "png". *The photo must meet all specifications which can be checked in the following website. https://www.isa.go.jp/en/applications/guide/photo_info.html Submission of the same photo as a passport should be avoided. ■ KOBE  Hanako  Photo.jpg [ 607.5KiB玄更Passportバスホートファイルの選択｜ファイルが選択されていませんCopy of Passport ID Page *All letters on the ID page must be shown clearly.
A Bank-Account-Sample-Statement.pdf [ 36.6KiB ] 変更
確認/Confirm Immigration Services Agency of Japan出入国在留管理庁Font Size A A A Language Opinion Box About Us Applications and Publications Contact Us Residency Support Procedures Laws Policies and Statistics Applications and Procedures Guide to immigration procedures Procedures for immigration examination and residence examination Procedures for residence examination TOP Photograph requirements
Photograph requirements
The photograph submitted with each application should meet the following requirements. Examples of both appropriate and inappropriate photographs have been provided for reference, so please ensure that all submissions meet the standards. (mm) Photograph size 4 cm long, 3 cm wide The photograph must contain only the applicant. The dimensions of the photograph must meet those shown on the left (excluding the edges). (The dimensions of the face are measured from the top of the subject's head (including their hair) to the tip of their chin.) The applicant must face the camera and cannot wear a hat. There must be no background (including no shadow). It must be a clear photograph. It must be taken within three months of the date of submission. The applicant's name must be written on the back. F Examples of appropriate photographs These photographs meet all of the requirements listed above and show the subject clearly. Examples of inappropriate photographs Photographs that do not meet the specifications listed above. Photographs where the face is partially obscured. shadow (Note) Head coverings are allowed provided that the applicant's face is clearly visible. Photographs where it is difficult to identify the person. *In any other case, it is inappropriate to change the image  by making the eyes look bigger, whitening, or correcting facial parts, moles, wrinkles, etc. by image processing or image manipulation. In addition, photographs that have been reversed from side to side are also inappropriate. About Us Outline of the Immigration Services Agency of Japan Regional Immigration Services Bureaus Relocation and Consolidation of Government Offices [JP] Public relations Publications
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