SAMPLE - Purpose of the entry : Business meetings ＊＊Please type or write in block letters except for signature part.

署名欄以外はブロック体でご記入/入力下さい

TARO

Do not need to fill in this box.

このボックス内は記載不要

Please complete these articles.

要記入

As shown in passport

パスポート通りに記載

Put “X” in the appropriate box.

あてはまる項目に”X”を記載

Please complete these articles, if

applicable.

あてはまる場合には記入

X XX

XX

X

X

X

X

KK55555555 ,　Ministry of Foreign Affairs

05 May 1950

05 May 2018 05 May 2028

68 YearsIT Director

FIVE CORPORATION

IT Consultation

NS 1,000-

As shown in the passport

If it is not indicated in the passport,

the city/state where you were born.

パスポート通りに記載

記載無い場合、生まれた都市

Tokyo

Tokyo JAPAN

JAPANTokyo

5-5 Azabudai, Minato-ku, Tokyo

5-5 Azabudai, Minato-ku, Tokyo

5-5 Marunouchi, Chiyoda-ku, Tokyo

　+81-3-3333-3333

　+81-3-3333-3333

SAMPLE - Purpose of the entry : Business meetings ＊＊Please type or write in block letters except for signature part.

署名欄以外はブロック体でご記入/入力下さい

5 daysAccommodation details

宿泊先情報記載

HILTON WINDHOEK-REV. MICHAEL SCOTT ST., WINDHOEK, NAMIBIA TEL: +264-61-2962929

Please complete these articles, if

applicable.

あてはまる場合には記入

Please complete these articles, if you are not a Namibian and have a residency in

Namibia.

ナミビア人ではないが、ナミビアの居住権を持っている場合に要記入

By airflisht23July2018,

18July2018, Hosea Kutako International Airport

Hosea Kutako International Airport

15/May2018

Only the applicant can sign.

The signature should be the same signature as the passport.

パスポートの署名と同じサインを申請者が署名

To attend a business meeting

5-5 XX Street, Windhoek, Namibian IT Consultation

Yes, since I hold a Japanese passportTo attend a business meeting in Namibia

JAPAN

To enter the name, Tel & Address of the

company ,etc., you will visit.

訪問予定の会社名、住所、TEL を入力

+264-81-XXXX-XXXX

Currently Five Corporation has a joint venture with Namibian IT Consultation for IT consultation in Namibia

Business details

ビジネスの内容記載

SAMPLE - Purpose of the entry : Business meetings ＊＊Please type or write in block letters except for signature part.

署名欄以外はブロック体でご記入/入力下さい

If you made mistakes when filling in the format, please double cross the wrong word and sign

beside it, and put a correct word.

i.e.) Destination after leaving Namibia : Hong Kong Japan