QUESTIONNAIRE

You can use either English version or Thai version

(SUPPLEMENTARY TO VISA APPLICATION FORM TO ENTER JAPAN)

Please answer the following questions regarding your visit. False statements may be disadvantageous to you.

Ver.2.2

QUESTIONS FOR ALL APPLICANTS:

YOUR PASSPORT NO.__________________________________ YES YES

official use

How many passports have you acquired so far? one (first time) two to three more (how many?: ) Has your passport ever been destroyed/returned/lost/stolen? NO If you answer YES, when did it happen? within the last year in the last 1 to 5 years more than 5 years ago Have you ever been refused a visa application by any country? NO If you answer YES, by which country? country: when?: Have you ever been to Japan? first time one to three times more (how many?: ) Have you ever been refused admission to or deported from any foreign country? NO Or have you ever entered illegaly or overstayed? Including Japan If you answer YES, give details. (country: when and for how long did you stay in that country? where did you stay in that country? * If you are submitting a Certificate of Eligibility/letter from JICA/AOTS/Note Verbal, or visiting Japan for transit purpose, go straight to question C. Please sign at the bottom of this form.

YES

A QUESTIONS FOR VISITORS FOR

BUSINESS PURPOSES WITHIN 90 DAYS:

Do you need a multiple entry visa? (Conditions apply. Refer to the list of necessary documents.) Will you stay more than 15 days for training? If you answer YES, the following documents are to be added: Invitation letter, detailed schedule for the training (with a clear indication that practical training is NOT included), schedule for the whole trip. * If you are visiting Japan for business purposes, go straight to question C. Please sign at the bottom of this form.

NO NO

YES YES

BUSINESS

ONLY

B QUESTIONS FOR VISITORS FOR

Is somebody else paying your travel expenses? NO Do you have any acquaintances or friends in Japan? NO Do you have a fiance or boy/girl friend in Japan? NO Do you have any relatives other than Japanese nationals in Japan? NO If you answer YES, how many relatives do you have in Japan? (write number; ) relationship (please circle) <parent / brother or sister / other ( )> Are there any persons traveling with you on this trip? NO If you answer YES, have they already acquired a VISA to Japan? already acquired already applied applying together will apply later (date ) no need to apply ( reason ) Did you stay more than 15 days on your the previous trip to Japan? (as a temporary visitor) NO If you answer YES, give details of your reference at that time. Name relation addressoccupation tel. no. ID no. (Thai national) Details of your activities during your pervious stay.

SIGHTSEEING and VISITING FRIENDS or RELATIVES WITHIN 90 DAYS: YES YES YES YES

SIGHTSEEING VISITING
FRIENDS
RELATIVES

YES

ONLY

YES

<IMPORTANT QUESTION!> Do you have worries that YOU might become a victim of TRAFFICKING IN PERSONS (TIP)? It is reported that some travelers became victims of TIP without knowing it. The Embassy of Japan is making its effort to prevent TIP. With this connection, if you have any problems or queries with your visa application, we can always advise you while protecting confidentiality of personal information. date

NO

YES

I certify that the above statement is true and correct to the best of my knowledge and belief.
Signature Name