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Receiving Residence Certificate Copies (By Mail)

最終更新日:2023年9月21日

1 Application Form

2 Contents of Application

Please fill out the form with the following contents. You can either print out the form above to fill out, or simply list out the necessary information on any sort of writing/letter paper.

(1) Applicants Address ・Name ・Phone Number for Daytime Contact

Note: Please sign your name either by hand or by your inkan seal.

(2) Necessary Information

Please indicate how many copies of the residence certificate are needed, and if they are required for multiple people in the household or only one.

Note: Please indicate whether it is necessary to provide information such as the resident's permanent address, the registered head of family, the applicant's relation to the head of the family, or any additional information used to identify an address. If not specified, an abbreviated version of the certificate will be issued.

 Note: For foreign residents, please indicate whether it is necessary to provide information such as the applicant's relation to the head of the family/any additional information used to identify an address, the residents country/region of origin as indicated on your passport, residence card number, status of residence/period of stay/expiration of period of stay, resident classification as specified by article 30-45, or the residents name in katakana. If not specified, an abbreviated version of the certificate will be issued.

(3) Address・Name of Head of Household・Who is in Need of the Document and their Relationship to the Applicant

Note: If you require a certificate for someone other than yourself or someone within your same household, there are instances in which we will inevitably be unable to fulfill your request, so please contact us in advance.

(4) Details of Intended Use

Note: For those who would like to request a certificate of removal of residence (for proof of past residence in Tokushima City) for automobile scrapping procedures, filing taxes/tax reductions, etc, please indicate in the Details of Intended Use section which address should be displayed on the certificate of residence.

3 Additional Documents to Include

(1) Copy of Identity Verification Document of the applicant --- Please confirm which documents apply here (About Identity Verification Documents JPN only)
(2) In the case that a proxy is applying, a letter of power of attorney (by the one authorized to make the application) is required. See here for more details: About Power of Attorney (JPN only)

4 Handling Fee

Copy of Certificate of Residence is 350 yen for each household or each individual member of the household.

Please enclose a fixed-sum money order (which you can purchase at the Japan Postal Bank) for the handling fee. Stamps and revenue stamps will not be accepted.

5 SASE (Self-Addressed Stamped Envelope)

Please include a self-addressed stamped envelope with your name and address (registered place of residence) along with your application documents for return postage.

6 Forwarding Address

2-5, Saiwaicho, Tokushima-shi, Tokushima-ken 770-8571 (If you fill in this zip code you can omit the preceding address)

Tokushima City Hall, Resident Registration Division

Contact For Additional Inquiries

Resident Registration Division TEL: 088-621-5140

お問い合わせ

総務課

〒770-8571 徳島県徳島市幸町2丁目5番地(本館6階)

電話番号:088-621-5021

ファクス:088-654-2116

担当課にメールを送る

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徳島市役所

〒770-8571 徳島県徳島市幸町2丁目5番地

電話:088-621-5111(代表) ファクス:088-654-2116

開庁時間:午前8時30分から午後5時まで(土曜・日曜・祝日・12月29日から翌年の1月3日までを除く)

注記:施設・部署によっては異なる場合があります。

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