Statement of Reasons
[Month] [Day], [Year]
Name (Applicant) Taro Nyukan
Nationality and region (Applicant) Myanmar
1. Applicant
Myanmar nationals
☐ Non-Myanmar nationals who have their main home in Myanmar
☐ Other ( )
2. Wish to work
I wish to work.
☐ I do not wish to work.
3. Activity permitted under your current status of residence
Completed as scheduled.
(e.g. Where the term of your contract has expired, where you have completed a technical intern training
program, or where you have graduated from or completed a course)
☐ Not completed as scheduled (including discontinuation)
(e.g. Where you are in employment or school or where you have discontinued the activity due to
dismissal, liquidation, voluntary resignation, absconding, expulsion, or withdrawal from school)
4. Describe the following items in detail.
1. Reasons for being unable to return to Myanmar
Because a military coup took place in Myanmar, I am afraid to return there.
2. Reasons for changing your current status of residence (when changing the status of
residence)
I intended to return to Myanmar after graduating from a vocational school, but I am afraid
to return there and wish to work and live in Japan until the situation in Myanmar improves.