Formal Application form

Please respond to the only 2 steps!

1Please attach and send the required documents and informations from this form.

2Please sign and reply to the electronic proxy form we will send you.

This is all you have to do. Please wait 4-5 months for the decision on your pension payment!

ID card example

Our Fee: ￥30,000 (Pension application & 20% tax refund. Everything follow up.)

*If the pension amount is over ￥1,800,000, an additional handling fee of ￥10,000 will be charged.

Process: Click here to the detail review process.

✅Those who have lived in Japan for over 10 years or who left Japan more than 2 years ago may not eligible to apply.

✅Please give us a clear picture. Please use an application like Cam Scanner.　

Your Full Name

E-mail

Nationality

Date of birth

Your home address in your country (Not Japanese address)

Zip code of the above address

Date of departure from Japan

How long have you worked in Japan?

Bank name

Branch name

Bank account number (Your own account)

Bank Swift Code

1.Passport

Please submit your face photo page and the stamp page from when you left Japan.

・Your face photo page
×

 

・Exit stamp page
×

2. Zairyu card

Please submit your zairyu card. (front and back)

Please make sure the address on the card is your last address in Japan.

If different, please provide additional information in the comment box below.

・Your zairyu card (front side)
×

・Your zairyu card (back side)
×

3. NENKIN number(Blue Book)

Please submit a copy of the page with your nenkin number.

-If you don’t have a blue book, please let us know the Nenkin Number, or name and address of the company you worked via comment box below.

 

・NENKIN-TECHO (number page)
×

4. Account certificate(statement)

Please submit the certificate of your bank account. Account name must be your own account

Please make sure that bank name, branch name, and account number are clear.

Note: YUCHO Bank cannot be specified.

 

・Account certificate (your own account )
×

5. Others

Please attach other reference documents(Not necessary). If you have these docs, please attach it.

・転出証明書（The document proves that you left the municipality.）

・社会保険被保険者資格　喪失届

・年金決定通知書（Pension entitlement letter ）

・ねんきん定期便

・Other mailings and documents related to the pension

・Spare1
×

・Spare2
×

Comment

Coupon Code

・If you receive the lump-sum withdrawal payment, your pension records in Japan will disappear.

・All information and documents you have submitted are true.

・If there is unpaid tax, it may be offset against the refund.

・I agree to the Terms of Use and Privacy Policy.

✅Please confirm the contents on the next page and submit.

✅If you do not receive an auto-reply e-mail, please let us know and also check your spam folder.