Formal Application form

We will act as your Japan-based point of contact (your hub with Japanese government offices) and support you throughout the entire procedure.

✅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. 

✅If you experience any problem or have questions, please reply to the automatic reply email to contact us. 

✅You may leave any fields other than the required ones blank.

    Confirm

    Could you please confirm if the following is alright?

    Plan

    Your information

    E-mail:

    Your Full Name:

    Date of birth:

    Nationality:

    How long have you worked in Japan?:

    Nenkin number:

    Date of departure:


    Country:

    Zip code:

    State and city:

    street number etc.:


    Bank name:

    Account number:

    Swift code:

    Branch name:

    Branch address:

    Passport

    Your face page:

    Exit stamp page:

    Zairyu card

    Zairyu card (front side):

    Zairyu card (back side):

    Nenkin number

    Nenkin number:

    Bank statement

    Bank statement:

    Others

    Others1:

    Others2:

    Comment

    Coupon Code

    Agree terms

    ・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.


    Complete!

    Thank you for your application.

    Please check the auto-reply email and We will contact you soon.
    we will always reply within one business day. If you do not hear from us, please contact us.