Requiredname
Requirednationality	Vietnam Indonesia China Thailand Philippines other
Requiredsex	Male Female
RequiredBirthday	Month 1 2 3 4 5 6 7 8 9 10 11 12 Days 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Requiredmail address
RequiredConfirmation email address
RequiredCurrently in Japan Are you in technical intern training?	Yes No
Only those who answered "Yes" should answer below. If you answer "No", just press "Confirm the input contents".
AnyName of your Implementing Organization (Company)
AnyName of Supervising Organization
AnyName of Sending Organization
AnyDate of expiration of residence card	month 1 2 3 4 5 6 7 8 9 10 11 12 days 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
AnyPicture of your residence card(front and back)	× Image select
AnyCurrent visa status	TecnicalInternTraining(ii)(b) other
AnyJapanese Language Proficiency Test Certificate	Yes No × Image select
AnyJapanese Language Proficiency Test Certificate	Yes No
Anyfile upload	× Image select
AnyCertificate of Completion from the company	Yes No
Anyfile upload	× Image select