For enrollees

For those who have other than Chinese, Burmese, Bangladeshi, Mongolian, Vietnamese,

Sri Lankan and Nepalese nationality [Korean, American, etc.]

For those who decide to enroll at AGU and who have no status of residence

A guideline to receive a “student” status of residence

If you do not have a status of residence, you or your representative who lives in Japan is required to apply for the issuance

of a Certificate of Eligibility (CoE) at a regional immigration bureau. After receiving the certificate, you are required to

apply for a student status of residence at the Japanese embassy or consulate in your home country. It takes approximately

1.5-2 months after applying to receive a Certificate of Eligibility issued by the Immigration Bureau of Japan if it is

approved, so please plan and apply accordingly. Please note that the Certificate of Eligibility is valid for 3 months after it

has been issued.

If you or your representative (your relative/guarantor) would like to apply for a Certificate of Eligibility then documents

created by AGU will be required, so please contact the International Center of your campus promptly.

If you reside outside Japan and would like AGU to apply for a Certificate of Eligibility, we will apply at the immigration

bureau. AGU takes no responsibility if the application is not approved.

<Deadlines for sending documents/data to the International Center (IC)>

1st deadline: December 11, 2018

2nd deadline: December 20, 2018

3rd deadline: February 15, 2019

<Application procedure before you arrive in Japan>

Step1 Sending required documents for applying for a Certificate of Eligibility representative request (applicant ⇒ IC)

Please send all the required documents for representative request listed in the following table to the International Center

in each campus via EMS or any international delivery service, such as FedEx, DHL, UPS, etc. which has a package tracking

service (①). Please be aware that it may take time to have the Certificate of Eligibility issued if there is inadequate

documentation. Moreover, the Immigration Bureau of Japan may see fit to request additional documents.

Step2 Sending Certificate of Eligibility (IC ⇒ applicant)

AGU will apply for a Certificate of Eligibility on your behalf (②). After the certificate is issued (③), The International Center will send the Certificate of Eligibility (or the notification of the result) to the applicant’s residential address via EMS (④). *Generally, it takes 1.5 - 2 months for a notification from the immigration bureau.

Step3 Apply for “student” visa (applicant ⇒ nearest Japanese Embassy or consulate)

After you have received the Certificate of Eligibility, apply for a “student” visa at the Japanese Embassy or consulate in your home country (⑤). The Certificate of Eligibility expires in 3 months. Please come to Japan after your “student” visa is issued. To those who are of Korean or American nationality, please follow the procedure in the relevant website below. Embassy of Japan in Korea https://www.kr.emb-japan.go.jp/people/ryouzibu/visa_zairyu_jp.html Embassy of Japan in the United States of America https://www.us.emb-japan.go.jp/j/

Student ⑤ Japanese embassy/consulate in

your home country

④ ①

AGU International Center ② Immigration Bureau of Japan

③

Contact information/address for sending the application documents: International Center in each campus

Aoyama campus

Address:

Aoyama Gakuin University

International Center Certificate of Eligibility section

4-4-25 Shibuya Shibuya-ku, Tokyo, Japan 150-8366

Telephone number: +81-3-3409-8462

Sagamihara campus

Address:

Aoyama Gakuin University

International Center Certificate of Eligibility section

5-10-1 Fuchinobe Chuo-ku, Sagamihara-shi, Kanagawa, Japan 252-5258

Telephone number: +81-42-759-6034

Email: international@iec.aoyama.ac.jp

Required documents for applying for

“Certificate of Eligibility Representative Request” form (for enrollees) <Notes>

1. If you only have the original documents to submit and would like to have the documents returned, please enclose the

Application for the Return of an Original Copy of a Certificate form (証明書原本返却願届) together with the documents,

otherwise the documents will not be returned.

2. If you should make a mistake, draw a double line over the error, and then place your Inkan (or signature) over the

mistake (correction fluid or tape may not be used).

3. If your documents are in any language besides Japanese or English a translation into Japanese is necessary. Please have

the item translated and have the following information noted ①the translation date ②the translator’s name ③the

translator’s address ④the translator’s telephone number ⑤the translator’s signature, on a blank space of the document.

The applicant themselves may translate the documents.

No Required documents Details

1 “Certificate of Eligibility

Representative Request” form

Print out the form on page 5 of this guideline and fill out completely.

2

“Application For Certificate of

Eligibility”

(Immigration Bureau of Japan

form)

Refer to the examples and fill out completely the section “For applicant part 1 -

part 3”, (Excel File).

E-mail the Excel data (international@iec.aoyama.ac.jp), print out the documents

and send them via international delivery service.

Rename the file: “’Name of faculty/graduate course’ + ‘Name in English’.xls”

*For 4, 6, 15, 17, 18, and 19 in For applicant part 1 - part 3, you will not be able

to do it with through excel. Print out the document and circle your answers with

a black pen.

*For 26 (3) ④Annual income, fill out the exchange rate and the amount in Japan

Yen.

*If the supporter for the expenses has no occupation and has no annual income,

revise with a double line over Annual income and write “Savings amount” and fill

out the exchange rate and the savings amount in Japan Yen.

3 Photocopy of your Passport

① Photocopy the information page of your passport which includes the

passport number, date of birth and photograph

② (If you have visited Japan in the past) the page with your most recent landing

permit or the most recent status of residence with the period of your visa

4

ID photographs x 2 (do not

attach on to the application

form)

2 Clear photographs taken within 6 months of the application date

4cm high, 3cm wide

Upper body with no head covering (unless it is for religious or medical reasons).

Plain white or blue background

*Write your faculty/graduate school and your full name on the back.

5-A

[If the student is self-

supporting]

Documents certifying the

ability to pay the expenses

during stay

The following document(s) which apply to you

□ An original certificate of deposit balance or photocopies of all pages of the

passbook associated with the student’s bank account

□ (If you are receiving a scholarship) the original scholarship award letter.

5-B

[If the supporter resides

outside Japan]

Documents certifying the

ability to pay the expenses

during the student’s stay

All of the following documents

□ ①Letter of Financial Support (経費支弁書 , Keihi Shibensho)… The

supporter’s full name, signature and Inkan (or signature) is required

□ ②An original statement of the supporter’s deposit balance

□ ③An original statement of the supporter’s income

□ ④The original copy of a proof-of-employment letter from the supporter’s

employment… If the supporter is self-employed, a business registration

certificate or tax certificate, etc. is required

□ ⑤The original document certifying the relationship of the student and the

supporter… e.g. certificate of family relations, Residence Certificate, an

official copy of family register

5-C

[If the supporter resides

within Japan]

Documents certifying the

ability to pay the expenses

during the student’s stay

The following documents

① Letter of Financial Support (経費支弁書, Keihi Shibensho)… The supporter’s

full name, signature and Inkan (or signature) is required

② Supporter’s proof-of-residence in Japan…Photocopy of the Supporter’s

Resident Card (front and back page) and Residence Certificate (住民票, Jumin

Hyo)

③ Document(s) to prove the supporter’s income

□ Tax Certificate (課税証明書, Kazei Shomeisho) (where gross income is

stated) (for the past 3 years)

□ Tax Statement (源泉徴収票, Gensen Choshu Hyo)

□ Tax Return (copy) (確定申告書, Kakutei Shinkokusho)

□ An original certificate of a deposit balance (attach a document showing

the source of income such as a certificate of employment or tax

certificate, etc.)

④ An original document certifying the relationship of the student and the

supporter… e.g. certificate of family relations, Certificate of Residence (住民

登録票, Jumin Torokuhyo), an official copy of the family register (戸籍謄本,

Koseki Tohon)

6 Documents certifying the

educational background

[For enrolling in undergraduate school] High school graduation certificate

(expected) and transcript

[For enrolling in graduate school] College/University graduation certificate

(expected) and transcript

[If you are currently in or have been to Japanese language school] Certificate of

completion and attendance certificate from your Japanese language school

together with the documents certifying your educational background

*If you have a diploma, refer to the notes (2) below.

*If your attendance rate is less than 80%:

Fill out a statement noting the reasons with evidence (objective documents) in

“7. Reason for applying for a Certificate of Eligibility”

7 Reason for applying for a

Certificate of Eligibility

Fill out the reasons for studying abroad in Japan, the things you would like to study

at AGU, your schedule after graduation etc. Date and signature are required. Refer

to the examples.

8 International Reply Coupon

Stamp coupons can be purchased at post offices in each country. Please send the

required amount of coupons depending on where to send documents from AGU.

Asia: 11 coupons

Other countries: 13 coupons

Please enclose a memorandum if you are in a country which does not sell coupons.

If you wish us to send within Japan, please enclose postal stamps for JPY1,400.

<Notes>

(1) All the photocopies listed above are required to be clear, single-sided, and of A4 size.

(2) If you only have the original documents to submit and would like to have the documents returned, please enclose the

Application for the Return of an Original Copy of a Certificate form (証明書原本返却願届) together with the

documents, otherwise the documents will not be returned. The Application for the Return of an Original Copy of a

Certificate can be downloaded from International Center’s International Students website (for enrollees).

(3) The immigration bureau may require you to submit additional documents besides those listed above.

(4) If you have studied in Japan in the past, please be sure to submit your certificate of attendance and transcript.

If your attendance rate is less than 80%, submit a statement noting the reasons together with evidence (objective

documents).

(5) For 5 on the table above, be sure to submit all the required documents according to the applicable criteria in 5-A/5-

B/5-C.

(6) If you should make a mistake, draw a double line over the error, and then place your Inkan (or signature) over the

mistake (correction fluid or tape may not be used).

(7) If your documents are in any language besides Japanese or English a translation into Japanese is necessary. Please

have the item translated and have the following information noted ①the translation date ②the translator’s name

③the translator’s address ④the translator’s telephone number ⑤the translator’s signature, on a blank space of the

document. The applicant themselves may translate the documents.

(8) All certificates are required to include issuer’s title and full name / issuing authority’s location, telephone number and

fax number.

(9) Documents issued are valid only for a certain time period. It may take several days after AGU receives your documents

to submit them to the immigration bureau, so please be sure to check when your documents were issued.

For documents issued within Japan – they are valid for up to 3 months from the issue date.

For documents issued outside of Japan – they are valid for up to 6 months from the issue date.

(10) Please do not use staples, only paper clips.

Date of acceptance year month day

「在留資格認定証明書」代理申請依頼書

Certificate of Eligibility (CoE) Representative Request * AGU takes no responsibility if the application is not approved, as the Ministry of Justice judges the approval of

Certificate of Eligibility.

* If you only have the original documents to submit and would like to have the documents returned, please enclose the

Application for the Return of an Original Copy of a Certificate form (証明書原本返却願届) together with the documents,

otherwise the documents will not be returned.

受験番号

Examinee Number

入学予定の学部 / 研究科

Faculty / Graduate School

学部／研究科 Faculty/Graduate School 学科／専攻 Department/Major

氏 名 (漢字)

Name in Kanji

姓 Family Name 名 First Name

氏 名 (カタカナ)

Name in Katakana

姓 Family Name 名 First Name

氏 名 (ローマ字)

Name in English

姓 Family Name 名 First Name

住 所 (ローマ字)

Address in English *「在留資格認定証明書」の郵送先

The address to which CoE will be sent

郵便番号 Postal Code

電話番号

Telephone Number

国番号 Country Code

（ ）

携帯電話

Mobile Phone

国番号 Country Code

（ ）

Eメール

E-mail

過去に在留資格認定証明書

交付申請をしたことがある

※該当するものにチェック

Have you ever applied for CoE in the past? *Check the corresponding box

□ ない No

□ ある Yes（申請時期： 年 月） Application date Year Month

ある場合、その審査結果 □ 許可 □ 不許可 If Yes, the result of the approval was Approved Not approved

不許可の場合、その理由 The reason for not being approved

[ ]

過去に「在留資格更新申請許

可申請」や「在留資格変更許

可申請」を行い、不許可になっ

たことがある Have you ever applied for a change of status of residence and/or an extension of period of stay and was not approved?

□ ない No

□ ある Yes

ある場合、申請した手続名[ ] If Yes, which did you apply for?

不許可になった場合、その理由を記入 The reason for not being approved

[ ]

授業料の納入

Payment of Tuition Fee

①納入済 （ 年 月 日） □海外送金 □日本国内からの入金 Paid Year Month Day Overseas Remittance Paid from within Japan

②納入予定（ 年 月 日） □海外送金 □日本国内からの入金Expected date for payment Year Month Day Overseas Remittance Paid from within Japan

証明書原本返却について

The return of original documents

□ 希望する（必ず「証明書原本返却願届」を同封すること）

Will apply (Be sure to enclose an Application for the Return of an Original Copy of a

Certificate form )

□ 希望しない Will not apply

[Application document checklist]

Please prepare the entire documents from ① through ⑧ (also ⑨ if you wish to request for this) and check ☑ the box

after you have enclosed the necessary documents.

In addition, please enclose documents which indicate the reasons of not being approved if you ever had your application

disapproved by the Immigration Bureau of Japan, such as Certificate of Eligibility, change of status of residence, extension

of period of stay, etc.

□ ① Certificate of Eligibility Representative Request form (this form)

□ ② Application For Certificate of Eligibility (For applicant part 1 – part 3)

□ ③ Photocopy of your passport (the information page with your photograph)

□ ④ ID photographs x 2 (write your faculty/graduate school and your full name on the back)

□ ⑤ Documents certifying the ability to pay the expenses

（ ）A. If the student is self-supporting

（ ）B. If the supporter resides outside Japan (Letter of financial support is also required)

（ ）C. If the supporter resides within Japan (Letter of financial support is also required)

□ ⑥ Documents certifying the educational background

□ ⑦ Reason for applying for a Certificate of Eligibility

□ ⑧ International Reply Coupon Asia: 11 coupons Other countries: 13 coupons

□ ⑨ Application for the Return of an Original Copy of a Certificate (if you wish to request this)

Address for sending the application documents: International Center in each campus

Aoyama campus

Address:

Aoyama Gakuin University

International Center Certificate of Eligibility section

4-4-25 Shibuya Shibuya-ku, Tokyo, Japan 150-8366

Telephone number: +81-3-3409-8462

Sagamihara campus

Address:

Aoyama Gakuin University

International Center Certificate of Eligibility section

5-10-1 Fuchinobe Chuo-ku, Sagamihara-shi, Kanagawa, Japan 252-5258

Telephone number: +81-42-759-6034

Email: international@iec.aoyama.ac.jp

証明書原本返却願届

Application for the Return of an Original Copy of a Certificate

高等学校や大学の卒業証明書(または卒業見込証明書)、学業成績証明書、事業登録証等の原本を同封し、返却を

希望する場合は、書類名と返却先住所を明記のうえ、その他留学ビザの申請に必要な提出書類と一緒に提出してくださ

い。

『証明書原本返却願届』の提出がない場合、原本は返却しません。

国際センターが在留資格認定証明書申請等のため入国管理局に書類の原本を提出した場合、返却してもらうことはでき

ません。国際センターに書類を送る際には、原本の返却が必要かどうか、よく確認してから送ってください。

If you enclosed original documents such as: graduation certificates (or certificates of expected graduation); academic

transcripts from high school; business registration certificates, and you would like the certificate to be returned, write the

name of the document(s) and the return address clearly on this form and submit it with the other application documents.

We will not return the original copies of certificates unless you submit the Application for the Return of an Original Copy

of a Certificate form.

The Immigration Bureau of Japan will not return the original copies of the certificates unless you submit the Application

for the Return of an Original Copy of a Certificate form.

Please make sure to check whether you need the original copies back or not before you send the documents to the

International Center.

年 月 日

Year Month Day

青山学院大学 国際センター宛

To: The International Center, Aoyama Gakuin University

《注意事項》

国際センターに提出した書類の原本は、入学年の 3 月末以降に行われる初頭オリエンテーション当日に返却します。ただ

し、やむを得ない事情により、それより前に返却を希望する場合、所属キャンパス国際センターに相談してください。

<<Notes>>

The original copies will be returned at the beginning of the year orientation around the end of March. If you would like

your documents returned earlier due to unavoidable circumstances, please contact the International Center.

以上

受験番号 Examinee Number

入学予定の学部・学科/研究科

Faculty/Department/Graduate School

氏名 Full Name

フリガナ Full Name in Katakana

返却希望書類名

Name of document(s)

返却希望理由

The reason you wish the document(s) to be

returned

20XX 年 X月 XX 日

Year Month Day

東京入国管理局長殿

To: Director-General of the Immigration Bureau

在留資格認定証明書交付申請についての理由書

Reason for application of Certificate of Eligibility

氏 名（自筆） 印

Full name (handwritten) Inkan (or signature)

本文記入箇所 Enter text here

つきましては、在留資格認定証明書交付申請についてご許可いただきますようよろしくお願い申し上げます。

Therefore, I would appreciate your permission to apply for a Certificate of Eligibility.

以上

【本文記入箇所に関する注意点】

[Important points to consider when filling out the reasons for your CofE application]

以下の、（1）～（3）をバランスよく盛り込みながら、A4 用紙 1 枚程度に復学を希望する理由をまとめてく

ださい。

Please summarize the reasons on an A4 size paper why you wish to study abroad, with an equal emphasis on all three

parts.

(1) 日本へ留学を希望した理由

The reason you wish to study abroad in Japan

(2) 学習・研究内容

Study/Research contents

青山学院大学への留学目的

Your purpose in studying to study at AGU

学部／研究科の専攻に関する研究テーマ

Your research theme related to your faculty/graduate school’s major

(3) 卒業後の進路（希望や予定）

Your career after graduation (your hopes and plans)

日本での留学経験をどのように活かすか

How will you make use of your experience of study abroad in Japan

（2）に記載の学部／研究科での研究テーマと進路先との

The connection(s) between your research theme stated in (2) and your future goals.