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- Policies and Statistics
- Specified Skilled Worker Program
- Specified skilled worker operational outline, forms, etc.
- Reference forms for the Status of Residence "Specified Skilled Worker" (new versions)
Reference forms for the Status of Residence "Specified Skilled Worker" (new versions)
Items related to applications for residency
| Reference forms | Form name | Forms |
|---|---|---|
| No. 1-2 | Written Assessment of the Technical Intern Trainee | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-3 | Health Check Report (Including the "Declaration by Medical Checkup Examinee" attachment.) |
Word (in Japanese) PDF (in Japanese) |
| No. 1-4 | Statement of Remuneration for Foreign National Specified Skilled Workers | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-5 | Employment Contract for Specified Skilled Workers | Word (in Japanese) PDF (in Japanese) |
| No. 1-6 | Written Employment Conditions (Includes the "Payment of Wages" attachment.) |
Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-9 | Statement of Expense Collection | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-10 | Written Declaration on the Transfer of Skills | Word (in Japanese) PDF (in Japanese) |
| No. 1-11 | Overview of the Affiliated Organization | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-12 | Dispatch Plan | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-13 | Statement of Employment Conditions | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-14 | Overview of the dispatch destination (Agriculture) | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-15 | Overview of the dispatch destination (Fisheries) | Word (in Japanese) PDF (in Japanese) |
| No. 1-16 | Explanation of Employment Background | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-17 | Support Plan for Specified Skilled Worker (i) | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-20 | Curriculum Vitae of the Support Supervisor | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-22 | Curriculum Vitae of the Support Manager | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-23 | Written Pledge for Affiliated Organization Staff | Word (in Japanese) PDF (in Japanese) |
| No. 1-25 | Explanation of the Contracted Consignment of Aid with the Registered Support Organization | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 1-26 | Pledge to Fulfill Public Obligations | Word (in Japanese) PDF (in Japanese) |
| No. 1-27 | Statement of Public Obligations to be Fulfilled | Word (in Japanese) PDF (in Japanese) |
| No. 1-28 | Statement Concerning the Impact of COVID-19 | Word (in Japanese) PDF (in Japanese) |
Items related to registering (or renewing) a registered support organization
| Reference forms | Form name | Forms |
|---|---|---|
| No. 2-1 | Registered Support Organization Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-2 | Overview of the Registered Support Organization | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-3 | Support Supervisor Consent of Assignment and Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-4 | Curriculum Vitae of the Support Supervisor | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-5 | Support Manager Consent of Assignment and Written Pledge | Word (in Japanese) PDF (in Japanese) |
| No. 2-6 | Curriculum Vitae of the Support Manager | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 2-7 | Written Pledge for Registered Support Organization Staff | Word (in Japanese) PDF (in Japanese) |
| No. 2-8 | Explanation of the Fees Related to the Consignment of Aid (Estimated) | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
Items related to ad-hoc and periodic notifications
| Reference forms | Form name | Forms |
|---|---|---|
| No. 3-1 | Notification pertaining to the employment contract of a specified skilled worker | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-1 (Attachment) | Notification pertaining to the employment contract of a specified skilled worker (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-2 | Notification pertaining to changes to the support plan | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-2 (Attachment) | Notification pertaining to changes to the support plan (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-3 | Notification pertaining to the support contract of the affiliated organization | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-3 (Attachment) | Notification pertaining to the support contract of the affiliated organization (attachment) | Excel (in Japanese) PDF (in Japanese) |
| No. 3-4 | Notification pertaining to employment difficulties (attachment) | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-4 (Attachment) | Notification pertaining to employment difficulties | Excel (in Japanese) PDF (in Japanese) |
| No. 3-5 | Notification pertaining to unfair acts (misconduct) under immigration/labor laws and regulations |
Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-5 (Attachment) | Regarding laws related to immigration and labor Notification pertaining to unfair acts (misconduct) (attachment) |
Excel (in Japanese) PDF (in Japanese) |
| No. 3-6 | Notification pertaining to status of employment | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-7 | Notification pertaining to the status of implementation of a support system | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-7 (Attachment) | List of Specified Skilled Workers (i) to be supported | Word (in Japanese) PDF (in Japanese) |
| No. 3-8 | Notification pertaining to an organization's status of activities | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 3-8 (Attachment) | Status of payment of remuneration for foreign national specified skilled workers | Word (in Japanese) PDF (in Japanese) |
| No. 4-1 | Notification pertaining to the suspension or dissolution of support services | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-2 | Notification of the resumption of support services | Excel (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-3 | Notification pertaining to the status of implementation of a support system | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 4-3 (Attachment) | List of Specified Skilled Workers (i) to be supported | Word (in Japanese) PDF (in Japanese) |
| No. 4-4 | Notification pertaining to changes in registration matters (Attachment No. 29-16 in the appendix) |
Excel (in Japanese) PDF (in Japanese) |
| No. 5-1 | Improvement Report (pursuant to Article 19-19) | Word (in Japanese) PDF (in Japanese) |
| No. 5-2 | Improvement Report (pursuant to Article 19-21) | Word (in Japanese) PDF (in Japanese) |
| No. 5-3 | Improvement Report (pursuant to Article 19-31) | Word (in Japanese) PDF (in Japanese) |
| No. 5-4 | Consultation Records | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
| No. 5-5 | Periodic Questionnaire (for Specified Skilled Workers (i)) | Word (in Japanese) PDF (in Japanese) |
| No. 5-6 | Periodic Questionnaire (for Supervisors) | Word (in Japanese) PDF (in Japanese) |
| No. 5-7 | Proof of Payment of Remuneration | Word (in Japanese) PDF (in Japanese) |
| No. 5-8 | Confirmation of Orientation for Life in Japan | Word (in Japanese) PDF (in Japanese) |
| No. 5-9 | Confirmation of Advance Guidance | Word (in Japanese) PDF (in Japanese) |
| No. 5-10 | Consignment of Aid Contract | Word (in Japanese) PDF (in Japanese) Example (in Japanese) |
Forms available in English (and nine other languages)
Forms which require the applicant's signature and a clear understanding of their contents (*1) have been translated into English and nine other languages.
Please note that with certain system settings, some languages may not display correctly.
| Language | Forms |
|---|---|
| English | Word Excel PDF (*2) |
| Vietnamese | Word Excel PDF (*3) |
| Tagalog | Word Excel PDF (*3) |
| Indonesian | Word Excel PDF (*3) |
| Thai | Word Excel PDF (*3) |
| Myanmar Language | Word Excel PDF (*3) |
| Khmer | Word Excel PDF (*3) |
| Mongolian | Word Excel PDF (*3) |
| Nepali | Word Excel PDF (*3) |
| Chinese | Word Excel PDF (*3) |
(*1)
Form No. 1-3 Health Check Report
Form No. 1-5 Employment Contract for Specified Skilled Workers
Form No. 1-6 Written Employment Conditions
Form No. 1-7 Confirmation of Advance Guidance
Form No. 1-10 Written Declaration on the Transfer of Skills
Form No. 1-13 Statement of Employment Conditions
Form No. 1-16 Explanation of Employment Background
Form No. 1-17 Support Plan for Specified Skilled Worker (i)
Form No. 5-7 Proof of Payment of Remuneration
Form No. 5-8 Confirmation of Orientation for Life in Japan
(*2)
Form No. 1-13 and 1-17 are only available as Excel documents, due to their use of variable data. All other reference forms are available as Word documents.
(*3)
Form No. 1-13 is only available as an Excel document, due to its use of variable data. All other reference forms are available as Word documents.
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