Ugandan Nationals in Japan Registration Page

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	Registration For Uganda Nationals in Japan

* indicates required information

�� Your details as in passport ��

Name	First: Middle: Surname:
Passport Number	*
Date of Birth	Year: Month: Day:

�� Your location in Japan ��

Prefecture

*	Postal Code : -

City/ward/town

House/Apt/Room

Telephone

*Phone 1:

Phone 2:

Fax

Fax 1:

Fax 2:

Date of 1^st Entry

Year: Month: Day: