PCR test and Antigen test for travelers
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Email *
NAME *
Surname , Given name (Passport Name)
Please enter exactly as it appears on your passport
Type of Inspection (PCR  is the only test after returning to Japan) *
Date of birth *
MM
/
DD
/
YYYY
Sex *
Phone Number *
 Address *
Destination *
Passport Number
Nationality
Time/Date of Flight *
MM
/
DD
/
YYYY
Time
:
Appointment (Applications just before the inspection date cannot be accepted.) *
MM
/
DD
/
YYYY
Time
:
Certification
Clear selection
Payment
Clear selection
checklist *
If you do not agree to all the items, we will not be able to take the inspection.
Required
For reservation *
The reservation is not completed by this application alone. Please wait until you receive the notification that the reservation has been completed.
Required
Other details
If you have any questions, your information we should know, please write here.
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