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Move-out certificate sending request book

Published 2016 years 02 month 01 Date

It is a description of the move-out certificate sending request book.

The contents of the request form

It is sending written request necessary if you want to send a transfer-out certificate.

Tips and notes

  • In the case of notification by mail, notification who will be only those who the person in question to change.
  • Please enclose a copy of the identity confirmation document (driver's license, insurance card etc) of the person who sent the notification. (If you do not have enclosure, please allow cooperation as the procedure will be delayed.)
  • Paste the stamp, please enclose a self-addressed envelope wrote the address (Katasho). Fee is free.
  • Those who continue to use the Juki card, will not be issued move out certificate. Check on the personal identification number will be sure to have a Juki card is the time of notification of moving in, please refer to the transference procedure.

Please request with a margin ※. Please request by express mail also if you are in a hurry.

Application paper size

Please print in A4 portrait of plain paper.


Address: Nagano Prefecture Chiisagata-gun NAGAWA old-cho 4247-1 NAGAWA office
Contact: townsman Welfare Division teller

Heicho Date

Saturdays, Sundays and public holidays and holidays the New Year's holiday (January 3 from December 29, 2008)

Moving out certification Request for [PDF: 63KB]
Moving out certification Request for [XLS: 27KB]


Townsman Welfare Division teller
PHONE: 0268-75-2046

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