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{"sheet":" 申請人用（認定）","index":0,"n_rows":109,"n_cols":42,"rows_kept":109,"cut":false,"hidden":false,"merged":[[102,2,104,42],[98,34,99,42],[99,21,99,24],[100,0,101,3],[100,4,101,12],[100,13,101,16],[100,17,101,20],[100,21,100,24],[100,25,101,33],[100,34,101,42],[101,21,101,24],[98,0,99,3],[98,4,99,12],[98,13,99,16],[98,17,99,20],[98,21,98,24],[98,25,99,33],[94,34,95,42],[95,21,95,24],[96,0,97,3],[96,4,97,12],[96,13,97,16],[96,17,97,20],[96,21,96,24],[96,25,97,33],[96,34,97,42],[97,21,97,24],[94,0,95,3],[94,4,95,12],[94,13,95,16],[94,17,95,20],[94,21,94,24],[94,25,95,33],[90,34,90,42],[91,34,91,42],[92,0,93,3],[92,4,93,12],[92,13,93,16],[92,17,93,20],[92,21,93,24],[92,25,93,33],[92,34,92,42],[93,34,93,42],[82,39,83,40],[83,33,83,34],[83,37,83,38],[89,3,89,23],[90,0,91,3],[90,4,91,12],[90,13,91,16],[90,17,91,20],[90,21,91,24],[90,25,91,33],[72,18,73,20],[72,36,73,38],[77,9,78,36],[82,16,83,18],[82,30,83,32],[82,33,82,34],[82,35,83,36],[82,37,82,38],[66,37,66,38],[66,39,67,40],[67,19,67,20],[67,23,67,24],[67,33,67,34],[67,37,67,38],[66,23,66,24],[66,25,67,26],[66,28,66,29],[66,30,67,32],[66,33,66,34],[66,35,67,36],[55,11,55,12],[55,15,55,16],[57,7,58,19],[60,9,61,21],[66,4,67,6],[66,16,67,18],[66,19,66,20],[66,21,67,22],[35,36,35,37],[41,30,41,42],[47,2,47,8],[49,28,49,42],[54,7,55,10],[54,11,54,12],[54,13,55,14],[54,15,54,16],[54,17,55,18],[54,28,55,41],[28,8,29,41],[31,8,32,19],[31,28,32,40],[34,8,35,19],[34,28,35,31],[34,32,34,33],[34,34,35,35],[34,36,34,37],[34,38,35,39],[35,32,35,33],[23,4,23,5],[23,7,23,8],[23,36,23,37],[23,39,23,40],[25,4,26,13],[25,23,26,41],[16,40,16,41],[17,32,17,33],[17,36,17,37],[17,40,17,41],[19,6,20,41],[22,4,22,5],[22,7,22,8],[22,15,23,28],[22,36,22,37],[22,39,22,40],[16,6,17,20],[16,28,17,31],[16,32,16,33],[16,34,17,35],[16,36,16,37],[16,38,17,39],[4,0,4,42],[5,0,5,42],[7,1,7,8],[8,1,8,8],[10,2,11,32],[12,2,13,32]]}
["別記第六号の三様式（第六条の二関係）"]
[null,"申請人等作成用 １",{"$nulls":29},"日本国政府法務省"]
[null,"    For applicant, part 1",{"$nulls":29},"Ministry of Justice, Government of Japan"]
[]
["在　留　資　格　認　定　証　明　書　交　付　申　請　書"]
["APPLICATION FOR CERTIFICATE OF ELIGIBILITY"]
[]
[null,"法務大臣殿"]
[null," To the Minister of Justice"]
[]
[null,null,"　出入国管理及び難民認定法第７条の２の規定に基づき，次のとおり同法第７条第１項第２号に\n掲げる条件に適合している旨の証明書の交付を申請します。"]
[]
[null,null,"Pursuant to the provisions of Article 7-2 of the Immigration Control and Refugee Recognition Act,  I hereby apply for\nthe certificate showing eligibility for the conditions provided for in 7, Paragraph 1, Item 2 of the said Act."]
[]
[{"$nulls":8}," ",{"$nulls":7}," ",null,"　"]
[{"$nulls":7},"  "]
["1　国　籍・地　域",{"$nulls":22},"2　生年月日",{"$nulls":4}," ",null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[null,"Nationality/Region",{"$nulls":22},"Date of birth",{"$nulls":7},"Year",null,null,null,"Month",null,null,null,"Day"]
[]
["3　氏　名"]
[null,"Name "]
[{"$nulls":7},"Family name",{"$nulls":11},"Given name"]
["4　性　別",null,null,null,"男",null,"・","女",null,null,"5　出生地",{"$nulls":4}," ",{"$nulls":13},"6　配偶者の有無",{"$nulls":6},"有",null,"・","無"]
[null,"Sex",null,null,"Male",null,"/","Female",null,null,null,"Place of birth",{"$nulls":18},"Marital status",{"$nulls":5},"Married",null,"/","Single"]
[]
["7　職　業",{"$nulls":14},"8　本国における居住地"]
[null,"Occupation",{"$nulls":14},"Home town/city"]
[]
["9　日本における連絡先"]
[null,"Address in Japan"]
[]
[null,"電話番号",{"$nulls":20},"携帯電話番号"]
[null,"Telephone No.",{"$nulls":20},"Cellular phone No."]
[]
["10　旅券",{"$nulls":4},"(1)番　号",{"$nulls":16},"(2)有効期限",{"$nulls":5}," ",null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[null,"  Passport ",{"$nulls":4},"Number",{"$nulls":16},"Date of expiration",{"$nulls":8},"Year",null,null,null,"Month",null,null,null,"Day"]
[]
["11　入国目的 （次のいずれか該当するものを選んでください。）",{"$nulls":20},"Purpose of entry: check one of the followings"]
[null,"□"," Ｉ 「教授」",{"$nulls":4},"□"," Ｉ 「教育」",{"$nulls":4},"□"," Ｊ 「芸術」",{"$nulls":4},"□"," Ｊ 「文化活動」",{"$nulls":8},"□","Ｋ 「宗教」",{"$nulls":5},"□","Ｌ「報道」"]
[null,null,"\"Professor\"",{"$nulls":5},"\"Instructor\"",{"$nulls":5},"\"Artist\"",{"$nulls":5},"\"Cultural Activities\"",{"$nulls":9},"\"Religious Activities\"  ",{"$nulls":6},"\"Journalist\""]
[null,"□ "," Ｌ 「企業内転勤」",{"$nulls":6},"□"," Ｌ 「研究（転勤）」",{"$nulls":6},"□"," M 「経営・管理」",{"$nulls":5},"□"," Ｎ 「研究」",null,null,null,"□ ","Ｎ 「技術・人文知識・国際業務」"]
[null,null,"\"Intra-company Transferee\"",{"$nulls":7},"\"Researcher (Transferee)\"",{"$nulls":7},"\"Business Manager”",{"$nulls":6},"\"Researcher\"",{"$nulls":4},"\"Engineer / Specialist in Humanities / International Services\" "]
[null,"□","Ｎ 「介護」",{"$nulls":4},"□","Ｎ 「技能」",null,null,null,"□ ","Ｎ「特定活動（研究活動等）」",{"$nulls":15},"□ ","Ｎ「特定活動（本邦大学卒業者）」"]
[null,null,"\"Nursing Care\"",{"$nulls":5},"\"Skilled Labor\"",{"$nulls":4},"\"Designated Activities ( Researcher or IT engineer of a designated org)\"",{"$nulls":16},"\"Designated Activities (Graduate from a university in Japan)\""]
[null,"□ ","Ｖ「特定技能（1号）」",{"$nulls":8},"□","Ｖ「特定技能（2号）」",{"$nulls":7},"□"," Ｏ 「興行」",{"$nulls":6},"□"," Ｐ 「留学」",{"$nulls":5},"□","Ｑ 「研修」"]
[null,null,null,"\"Specified Skilled Worker ( i ) \"",{"$nulls":9},"\"Specified Skilled Worker ( ⅱ ) \"",{"$nulls":7},"\"Entertainer\"",{"$nulls":7},"\"Student\"",{"$nulls":6}," \"Trainee\""]
[null,"□","Y 「技能実習（1号）」",{"$nulls":9},"□","Y 「技能実習（2号）」",{"$nulls":12},"□","Y 「技能実習（3号）」",{"$nulls":8},"□"," Ｒ 「家族滞在」"]
[null,null," \"Technical Intern Training ( i )\" ",{"$nulls":10}," \"Technical Intern Training ( ⅱ )\" ",{"$nulls":13}," \"Technical Intern Training ( ⅲ )\" ",{"$nulls":9},"\"Dependent\""]
[null,"□ ","Ｒ 「特定活動（研究活動等家族）」",{"$nulls":13},"□","Ｒ「特定活動（EPA家族）」",{"$nulls":9},"□","Ｒ「特定活動（本邦大卒者家族）」"]
[null,null,"\"Designated Activities (Dependent of Researcher or IT engineer of a designated org)\"",{"$nulls":14},"\"Designated Activities(Dependent of EPA)\"",{"$nulls":10},"\"Designated Activities(Dependent of Gradutate from a university in Japan)\""]
[null,"□"," Ｔ 「日本人の配偶者等」",{"$nulls":10},"□"," Ｔ「永住者の配偶者等」",{"$nulls":11},"□","Ｔ「定住者」"]
[null,null,"\"Spouse or Child of Japanese National\"",{"$nulls":11},"\"Spouse or Child of Permanent Resident\"",{"$nulls":12},"\"Long Term Resident\""]
[null,"□ "," 「高度専門職（1号イ）」",{"$nulls":9},"□ "," 「高度専門職（1号ロ）」",{"$nulls":10},"□"," 「高度専門職（1号ハ）」",{"$nulls":10},"□","Ｕ 「その他」"]
[null,null,"\"Highly Skilled Professional(i)(a)\"",{"$nulls":10},"\"Highly Skilled Professional(i)(b)\"",{"$nulls":11},"\"Highly Skilled Professional(i)(c)\"",{"$nulls":11},"Others"]
["12　入国予定年月日",{"$nulls":10},"年",null,null,null,"月",null,null,null,"日",null,null,"13　上陸予定港",{"$nulls":5}," "]
[null,"  Date of entry",{"$nulls":9},"Year",null,null,null,"Month",null,null,null,"Day",null,null,null,"   Port of entry"]
[]
["14　滞在予定期間",{"$nulls":21},"15　同伴者の有無",{"$nulls":9},"有","・","無"]
[null,"  Intended length of stay",{"$nulls":21},"   Accompanying persons, if any",{"$nulls":8},"Yes","/","No"]
[]
["16　査証申請予定地"]
[null,"  Intended place to apply for visa"]
[]
["17　過去の出入国歴",{"$nulls":11},"有","・","無"]
[null,"   Past entry into / departure from Japan",{"$nulls":10},"Yes","/","No"]
[null,null,"（上記で『有』を選択した場合）　(Fill in the followings when the answer is \"Yes\")"]
[null,null," 回数",{"$nulls":4},"回",null,null,"直近の出入国歴",{"$nulls":8},"年",null,null,null,"月",null,null,null,"日","から",{"$nulls":4},"年",null,null,null,"月",null,null,null,"日"]
[{"$nulls":7},"time(s)",null,null,"The latest entry from",{"$nulls":8},"Year",null,null,null,"Month",null,null,null,"Day      to",{"$nulls":5},"Year",null,null,null,"Month",null,null,null,"Day"]
[]
["18　過去の在留資格認定証明書交付申請歴",{"$nulls":15},"有","・","無"]
[null,"　Past history of applying for a certificate of eligibility",{"$nulls":14},"Yes","/","No"]
[]
[{"$nulls":6},"（上記で『有』を選択した場合）",{"$nulls":9},"回数",{"$nulls":4},"回",null,"（うち不交付となった回数）",{"$nulls":15},"回"]
[{"$nulls":6}," (Fill in the followings when the answer is \"Yes\")",{"$nulls":14},"time(s)",null,"（Of these applications, the number of times of non-issuance）",{"$nulls":15},"time(s)"]
[]
["19　犯罪を理由とする処分を受けたことの有無 （日本国外におけるものを含む。）※交通違反等による処分を含む。"]
[null,null,"Criminal record (in Japan / overseas)※Including dispositions due to traffic violations, etc."]
[null,null,"有","（具体的内容",{"$nulls":5}," ",{"$nulls":27},"）","・","無"]
[null,null,"Yes"," ( Detail:",{"$nulls":33},") ","/"," No"]
[]
["20　退去強制又は出国命令による出国の有無",{"$nulls":16},"有","・","無"]
[null,"   Departure by deportation /departure order",{"$nulls":15},"Yes","/","No"]
[null,null,"（上記で『有』を選択した場合）",{"$nulls":11},"回数",{"$nulls":4},"回",null,"直近の送還歴",{"$nulls":11},"年",null,null,null,"月",null,null,null,"日"]
[null,null," (Fill in the followings when the answer is \"Yes\")",{"$nulls":16},"time(s)",null,"The latest departure by deportation",{"$nulls":11},"Year",null,null,null,"Month",null,null,null,"Day"]
[]
["21　在日親族（父・母・配偶者・子・兄弟姉妹・祖父母・叔(伯)父・叔(伯)母など）及び同居者"]
["           ","　Family in Japan (father, mother, spouse, children, siblings,grandparents, uncle, aunt or others) and cohabitants"]
[]
[null,null,"有","（「有」の場合は，以下の欄に在日親族及び同居者を記入してください。）　・　無"]
[null,null,"Yes","(If yes, please fill in your family members in Japan and co-residents in the following columns)",{"$nulls":21},"/"," No"]
["続　柄",null,null,null,"氏　名",{"$nulls":8},"生年月日",null,null,null,"国　籍・地　域",null,null,null,"同居予定の有無",null,null,null,"勤務先名称・通学先名称",{"$nulls":8},"在留カード番号"]
[{"$nulls":34},"特別永住者証明書番号"]
["Relationship",null,null,null,"Name",{"$nulls":8},"Date of birth",null,null,null,"Nationality/Region",null,null,null,"Intended to reside\nwith applicant or not",null,null,null,"Place of employment/school",{"$nulls":8},"Residence card number"]
[{"$nulls":34},"Special Permanent Resident Certificate number"]
[{"$nulls":21},"有・無",null,null,null," ",{"$nulls":8}," "]
[{"$nulls":21},"Yes / No"]
[{"$nulls":21},"有・無",null,null,null," "]
[{"$nulls":21},"Yes / No"]
[{"$nulls":21},"有・無"]
[{"$nulls":21},"Yes / No"]
[{"$nulls":21},"有・無"]
[{"$nulls":21},"Yes / No"]
[null,"※","3について，有効な旅券を所持する場合は，旅券の身分事項ページのとおりに記載してください。\nRegarding item 3, if you possess your valid passport, please fill in your name as shown in the passport.\n21については，記載欄が不足する場合は別紙に記入して添付すること。なお,「研修」，「技能実習」に係る申請の場合は，「在日親族」のみ記載してください。\nRegarding item 21, if there is not enough space in the given columns to write in all of your family in Japan, fill in and attach a separate sheet. \nIn addition, take note that you are only required to fill in your family members in Japan for applications pertaining to “Trainee” or “Technical Intern Training”."]
[]
[]
["（注） 裏面参照の上，申請に必要な書類を作成して下さい。　"]
["Note : Please fill in forms required for application. (See notes on reverse side.)"]
["（注） 申請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。"]
[" Note :  In case of to be found that you have misrepresented the facts in an application, you will be unfavorably treated in the process."]