The original file is kept in the office. This is the text saved from it.
1 page
100%
People's Republic of Bangladesh
MRV Delivery Slip - DHAKA
Enrolment Details
Counter
Deposit Date
ENROL20
21/03/2023
Call Date
Application Type
Purpose Of Visit
Applicant's Details
First Name
L
04/04/2023 (If holiday, then next working day)
VISA EXTENSION
1/,'
·~ '
") '
Last Name
EMPLOYMENT
TOKUYUKI
MATSUYA
TOKUYUKI
MATSUYA
13/10/1968
i'~ Passport Number
;:\- 0> . ~' .' Number of Entries
cs *- '.?.'
·§ c:f
. c; • ,i$: ,/-, (fl" ,~. ,, . -
\ ..v_ s "
', ,'
Fee
Fee Receipt
Over Stay Fees
Ill IIII IIIIIIIIIII IIIIIIIIIIIIIIIIIIIII IIIIIII II IIII Ill
2601V0000519826
TZ1012754
MULTIPLE
First Name on Visa
Last Name on Visa
Date of Birth
Present Nationality
Sex
JPN - Japanese
MALE
819049252824
01847544372
Over Stay Receipt Number
Contact Number(Permanent)
Contact Number(Bangladesh)
Permanent Address
Address in Bangladesh
Visa Printed Date
Received By
Visa No
199-15 SANMAI-TOWN KANAGAWA SECTION
YOKOHAMA-CITY KANAGAWA PRFECTURE,,
CATHARSIS BUILDING 10TH FLOOR, HOUSE 133,
ROAD 12, BANANI, DHAKA, BANGLADESH,,
Operator's Signature
Applicant's Signature