Sending Required Documents 日本語 English Português Please attach photos of your documents. Pictures taken with your phone are fine. この欄は入力しないでください Please tell us whose application this is for. Name required Email required Reference number Only if you know it. You may leave it blank. Do you already hold a boat licence? No Yes Has anything on it changed (name, address, domicile)? No Yes If nothing changed, a photo of the licence is enough — no juminhyo needed. About you Enter exactly as on your juminhyo. It is printed on the documents. Name in kana Enter it exactly as written on your juminhyo. It fills in automatically when you type your name with a Japanese IME, but please always check it. If you are not Japanese, copy the katakana exactly as it appears on your juminhyo. Date of birth Postal code Enter 7 digits and the address fills in. Add the street number yourself. Prefecture Please choose 北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県 City / ward Street address, building Phone Registered domicile (prefecture) Please choose 北海道青森県岩手県宮城県秋田県山形県福島県茨城県栃木県群馬県埼玉県千葉県東京都神奈川県新潟県富山県石川県福井県山梨県長野県岐阜県静岡県愛知県三重県滋賀県京都府大阪府兵庫県奈良県和歌山県鳥取県島根県岡山県広島県山口県徳島県香川県愛媛県高知県福岡県佐賀県長崎県熊本県大分県宮崎県鹿児島県沖縄県 日本国籍以外 Nationality (if not Japanese) Licence number (only if you hold one) Documents to prepare Tick what applies. We prepare the documents — no signature or seal needed. The documents below carry the following wording. We prepare and submit them for you — no signature or seal is required from you. Power of attorney for licence application Lets our maritime agent handle the issuing of your licence. I appoint Tsutomu Kurita, maritime procedure agent, as my representative, and entrust to him all matters concerning applications under the Ship Officers Act and related laws, and the receipt of my small craft operator licence. Power of attorney for examination application Lets us apply for the national exam and receive the papers on your behalf. Examination date Examination place Please choose Otsu, Shiga (Rivre)Otsu, Shiga (Yamaha)Hikone, ShigaOsaka, OsakaKishiwada, OsakaTakaishi, OsakaKaizuka, OsakaMoriguchi, OsakaSettsu, OsakaKadoma, OsakaNishinomiya, HyogoMaizuru, Kyoto Examination class Please choose First classSecond classSecond class (lake and river)PWC Are you also taking the PWC (personal watercraft) course? The PWC examination is held on a different day from the main course, so a second power of attorney is needed for it. PWC examination date PWC examination place Please choose Otsu, Shiga (Rivre)Otsu, Shiga (Yamaha)Hikone, ShigaOsaka, OsakaKishiwada, OsakaTakaishi, OsakaKaizuka, OsakaMoriguchi, OsakaSettsu, OsakaKadoma, OsakaNishinomiya, HyogoMaizuru, Kyoto Undertaking to return the old licence If you need to be aboard while the procedure is running. I cannot return my current licence because I need to be aboard a vessel while the procedure is under way. I undertake to return it promptly through my representative as soon as the new licence is issued. Up to 8MB each. No need to resize — we do it for you. If you have posted the original document, tick the box instead of attaching an image. We will mark it as received when it arrives. A certificate of residence showing your registered domicile (or nationality) is required. Photo of your face required Front view, no hat, plain background. No sunglasses, closed eyes or smiling. I have sent the original by post Boat licence (only if you hold one) optional Shoot from directly above so the text is readable. I have sent the original by post Back of the licence optional Only if it carries a restriction note. I have sent the original by post Certificate of residence (juminhyo) required It must show your registered domicile (or nationality). "Omitted" is not accepted. If it shows My Number, please black it out. I have sent the original by post Other documents optional A driving licence or My Number card to confirm your identity if the juminhyo will not arrive in time, or any other document you need to send. I have sent the original by post Other documents (2) optional For a second file. I have sent the original by post Other documents (3) optional For a third file. I have sent the original by post Send
