Shinjuku Apartment (in Akebonobashi, Kitashinjuku, Kagurazaka, Ushigome-Yanagicho, etc)
 For tourists
About Yourself
  Name:
  Arrival Date/Time :
  Leaving Date/Time:
  Nationality:
  Referred by:
Passport
  Passport no.
  Valid until:
Home Country
  Address in home country:
  Telephone:
  Email:
In Japan
  Your purpose to stay
in Japan:
Additional information
  Do you/your company smoke?

Please, copy, paste and send to   Shinjuku Apartment