资格外活动许可申请书.doc

別記第二十九①四号様式（第十九条①二関係）資格外活動許可申請書APPLICATIONFORPERMISSIONTOENGAGEINACTIVITYOTHERTHANTHATPERMITTEDUNDERTHESTATUSOFRESIDENCEPREVIOUSLYGRANTED入国管理局長殿TotheDirectorGeneralofRegionalImmigrationBureau出入国管理及"難民認定法第19条第2項①規定怎基冬,次◎七指資格外活動①許可总申請L^ToPursuanttotheprovisionsofParagraph2ofArticle19oftheImmigrationControlandRefugeeRecognitionAct,Iherebyapplyforpermissiontoengageinactivitiesotherthanthosepermittedunderthestatusofresidencepreviouslygranted.彖上陸許可Q引吉続吉資格外活動許可申請总行兀3汽吉召⑼龙上陸①許可広列「留学」◎在留資格总決定場合（3月◎在留期間总決定場合总除＜。

□艮Persons,whoareabletofileforthisapplicationfollowingacquisitionoflandingpermission,arelimitedtothosewhohavebeengrantedthestatusofresidenceofStudentbasedonthelandingpermission(excludingthosewhohavebeengrantedaperiodofstayofthree(3)months).国籍•地域Nationality/Region生年月曰DateofBirth年Year月Month日Day氏名Name(inEnglish)性別Sex男•Male/女Female申請人①署名/申請書作成年月日Signatureoftheapplicant/Dateoffillinginthisform年月日YearMonthDav。