Registry entry

Japan Individual Number Card Issuing Application (My Number Card)

The generic, handwritten (手書用) Individual Number Card Issuing Application / Digital Certificate Issuance-or-Update Application Form (個人番号カード交付申請書 兼 電子証明書発行/更新申請書), published by the Japan Agency for Local Authority Information Systems (地方公共団体情報システム機構, J-LIS) for anyone registered in Japan's Basic Resident Register (Japanese nationals and registered foreign residents alike) who already has a 12-digit Individual Number ('My Number') and wants to apply for the physical photo IC card that carries it, whether for the first time, to renew an expiring card, or to reissue a lost/damaged one. Every resident is assigned an Individual Number automatically; this form is only the application for the physical card itself (and, optionally, its two electronic certificates used for e-Tax, convenience-store document issuance, and logging in to the Mynaportal). Most applicants instead use a personalized paper application mailed to them with a QR code and pre-printed Individual Number; this generic form exists specifically for anyone without that personalized mailer (e.g. it was lost, or the applicant needs a blank copy), and is submitted by post together with a passport-style photo to J-LIS's own P.O. box. J-LIS publishes this same two-page form in Japanese plus eleven other languages (English, Chinese, Korean, Portuguese, Spanish, Vietnamese, Thai, Tagalog, Indonesian, Nepali, and one more); this document is modelled from the official Japanese/English bilingual edition. See VERIFICATION.md for the full field-by-field source mapping, the mock-data test run against the source's own worked example, and every disclosed scope decision.

Registry entry

jp/j-lis/individual-number-card-issuing-application

Jurisdiction
Japan · national
Version
1.0.0
Verification
draft

Authoritative source 個人番号カード交付申請書 兼 電子証明書発行/更新申請書【手書用】/INDIVIDUAL NUMBER CARD Issuing Application / Digital Certification Form [to be personally handwritten] — the Japanese/English bilingual edition of J-LIS's generic (non-personalized) mail-application form, linked from the 交付申請書等ダウンロード ('Application form downloads') page at https://www.kojinbango-card.go.jp/download/.

Machine access

Registry catalog
registry/index.jsonone record per schema id

Field reference

20 fields, read from the published schema.json, with names, types, requiredness, and validation as the document states them. The live government form remains the authoritative source.

Fields

  • individualNumber string required

    個人番号 — the applicant's existing 12-digit Individual Number, already assigned via the Basic Resident Register before this card application. The form's own instructions state this is mandatory ('ID Number is mandatory') because an incorrect or missing number can cause the wrong card to be issued.

    patternclassification: sensitive-pii
  • fullName string required

    氏名 — printed exactly as it appears on the applicant's Certificate of Residence (住民票).

    length: 0–200classification: pii
  • address string required

    住所 — the applicant's registered address, matching the Certificate of Residence. The source form provides one free-text block (no structured street/city/postal-code sub-boxes).

    length: 0–300classification: pii
  • dateOfBirth date required

    Date of birth

    classification: sensitive-pii
  • gender enum required

    性別 — printed as a binary 男・女 (Male・Female) choice, matching the Certificate of Residence.

    enum: male | female
  • previousNameOrNickname string optional

    旧氏又は通称 — only applicable if the applicant has already completed the separate procedure to list a previous legal surname or a nickname/appellation on their Certificate of Residence; otherwise left blank.

    length: 0–100classification: pii
  • phoneNumber string optional

    電話番号 — a daytime contact number. The form's own footnote frames this as advisory ('if the information is insufficient, you may be contacted') rather than a stated mandatory item, unlike individualNumber's explicit 'mandatory' instruction, so this is modelled as optional.

    length: 0–30classification: pii
  • foreignResidencyStatus enum optional

    外国人住民の区分 — applies only to registered foreign residents; left blank by Japanese-national applicants. The six enumerated categories printed in the form's own instructions page: mid- to long-term residents (中長期在留者), special permanent residents (特別永住者), persons permitted to enter under temporary refugee status (一時庇護許可者), persons permitted for provisional stay (仮滞在許可者), persons who may continue to stay transitionally in Japan by birth (出生による経過滞在者), and persons who have lost Japanese nationality and may continue to stay transitionally in Japan (国籍喪失による経過滞在者).

    enum: mid-to-long-term-resident | special-permanent-resident | temporary-refugee-status | provisional-stay | transitional-stay-by-birth | transitional-stay-loss-of-nationality
  • hasResidencyExpiryDate boolean optional

    在留期間等満了日の有無 — applies only to registered foreign residents whose residence card (在留カード) itself prints an expiration date; the form's own instructions direct such applicants to write '有' (Listed).

  • residencyExpiryDate date optional

    在留期間等満了日 — the expiration date printed on the applicant's residence card, copied from that card.

  • requestBraille boolean optional

    点字表記を希望する — an opt-in checkbox to have the applicant's furigana/katakana name (as already registered on the Basic Resident Registration Network System, up to 24 characters) transcribed into braille on the card. The applicant does not separately write the braille text themselves; J-LIS transcribes it from the name already on file once this box is checked.

  • applicationDate date required

    Application date

  • applicantSignatureName string required

    申請者氏名 — the applicant's own handwritten name in the declaration/signature block ('I herein certify the statement in this document is true and correct... I request to apply for an Individual Number Card and Digital Certificate'), printed as a distinct box from the fullName field above and required to be completed by the applicant personally.

    length: 0–200classification: pii
  • declineSignatureCertificate boolean optional

    署名用電子証明書 — the form issues this Digital Certificate by default; the applicant blacks out this box only to opt out. By rule it is not issued to an applicant under 15 years of age or under adult guardianship regardless of this box.

  • declineUserAuthenticationCertificate boolean optional

    利用者証明用電子証明書 — issued by default (needed for e.g. health-insurance-card use, convenience-store document issuance, e-Tax filing, and Mynaportal login); the applicant blacks out this box only to opt out.

  • representativeFurigana string optional

    代理人記載欄 ふりがな — only completed when the card bearer is under 15 years of age or an adult ward, in which case a statutory representative (parent or legal guardian) completes this whole section instead of the applicant. The form itself has no separate checkbox marking this condition; a consuming agent can already derive the under-15 branch from this document's own dateOfBirth field, though adult-ward status cannot be derived from any field this document models.

    length: 0–200classification: pii
  • representativeName string optional

    代理人氏名 — see representativeFurigana for when this section applies.

    length: 0–200classification: pii
  • representativeRelationToApplicant string optional

    本人との関係 — see representativeFurigana for when this section applies.

    length: 0–100
  • representativeAddress string optional

    代理人住所 — printed with its own postal-code (〒) box; see representativeFurigana for when this section applies.

    length: 0–300classification: pii
  • representativePhoneNumber string optional

    電話番号 — the representative's own daytime contact number; see representativeFurigana for when this section applies.

    length: 0–30classification: pii

Verification record

This file is the source-review record for this document version, per the manual-source-review-v1 practice.

Current claim

  • status: draft
  • verification.method: manual-source-review-v1
  • verification.lastVerifiedAt: 2026-07-09
  • maturity.level: structural-reference

Why this candidate, this cycle

This is the recurring "GovSchema Standard Research" cycle (GOV-2012). Rather than treat the issue's own generic phased brief as a literal todo list (the established pattern for this recurring issue in prior cycles, e.g. GOV-1765 and GOV-2005), this cycle re-scanned CATALOG.md's Known Gaps section fresh. Item 6 (recorded by the immediately preceding cycle, GOV-2005) had already screened Japan's Business Formation and National ID verticals and flagged two specific, live, genuine candidates it did not pursue:

  • Business Formation: houmukyoku.moj.go.jp/homu/content/001331002.pdf (株式会社設立登記申請書 — Stock Company Establishment Registration Application, Legal Affairs Bureau) — Japanese-only, no AcroForm, rich extractable text layer.
  • National ID: kojinbango-card.go.jp/hpsv/wpmng/documents/tegaki-kofu-shinseisho-en.pdf (個人番号カード交付申請書 — Individual Number Card Issuing Application) — officially bilingual Japanese/English, no AcroForm, rich extractable text layer plus an annotated field-by-field instructions page.

This cycle picked the National ID candidate over the Business Formation one for the same reason GOV-2005 picked the Certificate of Eligibility over both: it is officially bilingual on the same government-published page, removing translation-fidelity risk entirely, whereas the Legal Affairs Bureau's incorporation form is Japanese-only. It is also a shorter, more tightly bounded single self-contained form (one generic two-page application, no category-variant fan-out), a better fit for a 1.0.0 (not 0.1.0) release than a partial cover sheet would be.

Sources examined

  • Document (id, version): jp/j-lis/individual-number-card-issuing-application / 1.0.0
  • Spec version: GovSchema 0.3.0
  • Authority: Japan Agency for Local Authority Information Systems (地方公共団体情報システム機構, J-LIS) — the special local-authority-joint administrative body responsible for the Individual Number Card system nationwide (kojinbango-card.go.jp).
  • Primary field-by-field source (fetched live, HTTP 200): https://www.kojinbango-card.go.jp/hpsv/wpmng/documents/tegaki-kofu-shinseisho-en.pdf — 個人番号カード交付申請書 兼 電子証明書発行/更新申請書【手書用】, the Japanese/English bilingual, generic (non-personalized), handwritten application form. 2 pages: page 1 is the application itself; page 2 is an annotated instructions/example page (記入例) with a fully filled-in sample (applicant "ZHANG YULIAN") that doubles as this document's worked-example source.
  • Linking/listing page (fetched live, HTTP 200), confirming this is J-LIS's own official generic download, not an orphaned or superseded asset: https://www.kojinbango-card.go.jp/download/ (交付申請書等ダウンロード — "Application form downloads") lists this same PDF alongside 10 other language editions of the identical form (Japanese-only, Chinese Simplified, Chinese Traditional, Korean, Portuguese, Spanish, Vietnamese, Thai, Tagalog, Indonesian, Nepali) — all sharing the same tegaki-kofu-shinseisho-* filename stem, confirming a single canonical form translated into multiple languages rather than several distinct forms.
  • Retrieved / reviewed: 2026-07-09.
  • Reviewer: GovSchema Engineering (Standards Engineer — initial authoring source review).
Bot-mitigation note

kojinbango-card.go.jp fronts different paths inconsistently. The bilingual PDF cited above and the /download/ listing page both returned HTTP 200 to a plain default-curl request, a browser User-Agent, and this repository's own tools/verify-sources.mjs User-Agent (GovSchema-source-verifier/1 (+https://github.com/hellogov-ai/govschema)) on first fetch this cycle — no bot mitigation observed on either URL, unlike moj.go.jp's curl-UA-specific 403 (GOV-2005). Two related paths were found gated regardless of User-Agent: the pure-Japanese-only edition of the same form (tegaki-kofu-shinseisho.pdf, both at the hpsv/wpmng/documents/ and hpsv/wpmng/assets/pdf/download/ locations) and the site's own apprec/apply/mail_apply/ walkthrough page each returned an Incapsula self-redirect (HTTP 307/302 to the identical URL, with fresh visid_incap_*/incap_ses_* cookies set each time) — a bot-challenge gate, not a 403 block. Neither was needed as a source, since the bilingual EN PDF (this document's citation) and the /download/ listing page were sufficient and returned clean 200s. Repeated rapid re-fetching of the bilingual PDF during this same review session (roughly a dozen requests within a few minutes, while cross-checking headers and re-running verify-sources.mjs) did eventually trigger the same Incapsula redirect on that URL too partway through this session — i.e. this looks like a request-rate trigger on an otherwise unblocked path, not a permanent per-URL block. Re-fetching after a pause returned HTTP 200 again. A reviewer re-running verify-sources.mjs immediately after many other fetches against this same host in a short window should expect to see transient WARNs and simply retry after a short pause rather than treat it as a new dead end.

Extraction method

The source PDF has no AcroForm/Widget layer (it is 【手書用】, "for personal handwriting," matching the DMV-family pattern in this registry's other handwritten-only sources) — confirmed via pdfjs-dist-equivalent rendering: the Read tool renders the PDF's own text/image content directly and reproduced every printed row label, checkbox glyph, and the full page-2 instructions annotations without any garbling, consistent with a genuine extractable text layer rather than a scanned image. Page 2's own filled-in sample ("記入例") shows the exact same layout as page 1 with example values overlaid and green annotation call-outs explaining each row — used directly as this document's worked-example source (see "Mock-data test run" below).

What page 1 maps to

  • 個人番号 (ID Number)individualNumber, a required 12-digit code; the form's own footnote states this field is mandatory because an error here can misdirect card issuance. Modelled with a ^[0-9]{12}$ pattern (the sample shows 1234 5678 9012, spaced for readability on the printed form but a plain 12-digit sequence).
  • 氏名 (Name)fullName.
  • 住所 (Address)address, one free-text block (no structured street/city/postal-code sub-boxes on this row).
  • 生年月日 (Date of Birth)dateOfBirth.
  • 性別 (Gender)gender, a binary 男・女 (Male/Female) choice.
  • 旧氏又は通称 (Previous last name or Nickname (Appellation))previousNameOrNickname, optional — the form's own footnote ※3 states this only applies to applicants who have already separately registered a previous surname or nickname on their Certificate of Residence.
  • 電話番号 (Phone Number)phoneNumber, modelled as optional. The form's footnote ※4 uses advisory language ("if the information is insufficient, you may be contacted") rather than the explicit "mandatory" language used for individualNumber, so this is a judgment call disclosed here rather than assumed required.
  • 外国人住民の区分 (Foreign Residency Status)foreignResidencyStatus, optional (Japanese-national applicants leave it blank), a 6-value enum reproduced verbatim from the form's own instructions-page gloss.
  • 点字 (Braille Type)requestBraille, a boolean opt-in checkbox. The form does not ask the applicant to separately write braille text; J-LIS transcribes the furigana/katakana name already on file into braille once this box is checked (per the form's own ※5 footnote), so no separate braille-text field is modelled.
  • 在留期間等満了日の有無 / 在留期間等満了日 (Residency expiry date available or not / Residency expiry date)hasResidencyExpiryDate (boolean) and residencyExpiryDate (date, requiredWhen hasResidencyExpiryDate is true) — applies only to foreign residents whose residence card itself shows an expiration date.
  • 申請日 (Application)applicationDate.
  • 申請者氏名 (Applicant's Name), in the declaration/signature block below the certification statement → applicantSignatureName, a distinct printed box from fullName above (the declaration reads: "I herein certify the statement in this document is true and correct... I request to apply for an Individual Number Card and Digital Certificate"), required to be completed by the applicant personally per the instructions page ("Requires to be signed by the applicant Himself/herself").
  • 署名用電子証明書 / 利用者証明用電子証明書 (Electronic certificate of the bearer's signature / Electronic certificate of user proof)declineSignatureCertificate / declineUserAuthenticationCertificate, both optional booleans. Both certificates are issued by default; the form's instruction is to black out the printed □ box only to opt out — so these are modelled as decline flags, not "please issue" flags, matching the form's own default-opt-in framing.
  • 代理人記載欄 (Statutory Representative) — ふりがな, 代理人氏名, 本人との関係, 代理人住所, 電話番号 → representativeFurigana, representativeName, representativeRelationToApplicant, representativeAddress, representativePhoneNumber, all modelled as optional. The form states this section is completed "when the bearer [is] under the age of 15 years, or adult ward," but prints no separate checkbox marking that condition — it is inferred from context (the applicant's own age, derivable from this document's dateOfBirth, or adult-guardianship status, which no field on this form captures). Rather than invent a synthetic discriminator field with no printed counterpart on the source (a firmer stance than requiredWhen can honestly express here), this is disclosed as a scope decision: each representative field's own description states the real-world condition, and a consuming agent combines that with its own knowledge of the applicant's age/guardianship status.
  • The photo box printed directly on page 1 (4.5cm × 3.5cm, with the full photo specification — recency, framing, lighting — printed on page 2) → documents[].applicantPhoto.

What is NOT modelled (out of scope), and why

  • The mailing/return-envelope process itself (J-LIS's own downloadable address-label sheet for the reply envelope, mentioned on page 2) — a packaging/logistics artifact, not a data field of the application.
  • The photo's own physical-mounting instructions (writing name/DOB on the back before pasting) — a physical-handling instruction, not a data field.
  • The Business Formation candidate (Legal Affairs Bureau's stock-company incorporation registration application, houmukyoku.moj.go.jp) screened and flagged by the prior cycle (GOV-2005) but not pursued this cycle — see "Why this candidate, this cycle" above. Remains open for a future cycle.
  • Any of the other 10 language editions of this same form (Japanese-only, Chinese, Korean, Portuguese, Spanish, Vietnamese, Thai, Tagalog, Indonesian, Nepali) — not opened or cross-checked field-by-field this cycle; the bilingual English edition cited above is the basis for this document. The /download/ listing page confirms they share the identical filename stem and are presented as translations of one canonical form, not separately verified as byte-identical in layout.

Mock-data test run

Per this registry's established practice, a one-off Node.js script (not committed to the repo) checking every type/required/requiredWhen/ validation constraint in schema.json was run against three realistic scenarios plus three negative controls:

`` OK Scenario 1: foreign resident, first-time card application (source's own worked example) OK Scenario 2: Japanese-national applicant, simplest path OK Scenario 3: minor applicant with statutory representative FAIL Negative control 1: missing residencyExpiryDate when hasResidencyExpiryDate=true (expected FAIL) - MISSING required field: residencyExpiryDate FAIL Negative control 2: invalid gender enum value (expected FAIL) - INVALID enum value for gender: nonbinary FAIL Negative control 3: individualNumber not 12 digits (expected FAIL) - INVALID pattern for individualNumber: 12345 ``

Scenario 1 reproduces the source's own page-2 worked example (applicant "ZHANG YULIAN," a foreign resident, foreignResidencyStatus: mid-to-long-term-resident, with a residence-card expiry date disclosed). Scenario 2 is a Japanese-national applicant taking the simplest path — every foreign-residency and representative field absent. Scenario 3 exercises the statutory-representative section for a minor applicant. The three negative controls confirm the check script actually enforces requiredWhen (correctly reporting the missing residencyExpiryDate once hasResidencyExpiryDate is true), validation.enum (correctly rejecting a gender value not in the form's binary male/female choice), and validation.pattern (correctly rejecting a non-12-digit individualNumber) rather than trivially passing everything. No defects were found in the schema itself.

Both registry validators were run against the schema document and pass:

``` $ node tools/validate.mjs registry/jp/j-lis/individual-number-card-issuing-application/1.0.0/schema.json ok registry/jp/j-lis/individual-number-card-issuing-application/1.0.0/schema.json 1/1 document(s) passed.

$ node tools/validate-ajv.mjs registry/jp/j-lis/individual-number-card-issuing-application/1.0.0/schema.json ok registry/jp/j-lis/individual-number-card-issuing-application/1.0.0/schema.json [v0.3] 1/1 document(s) validated against the meta-schema (ajv 2020-12). ```

Full-registry validation (313/313 including this document) and node tools/verify-sources.mjs registry/jp/j-lis/individual-number-card-issuing-application/1.0.0 were both re-run clean immediately before opening this PR (see the bot- mitigation note above for the one transient-WARN retry this host required).

Scope and jurisdiction notes

  • This is Japan's second document in the registry (after jp/isa/certificate-of-eligibility-application, GOV-2005), and its first in the National ID vertical — Japan now has 2 of its 6 verticals (Visa, National ID). DMV and Passport are confirmed dead ends (GOV-2005); Business Formation remains an open, well-sourced backlog candidate (see above).
  • Agency slug j-lis (Japan Agency for Local Authority Information Systems) is a new JP authority segment, distinct from isa; jurisdiction.level is national (J-LIS operates nationwide, not prefecturally).
  • id/process slug individual-number-card-issuing-application uses English, the official English name the source itself prints for this form ("INDIVIDUAL NUMBER CARD Issuing Application").
  • version set to 1.0.0, unlike the prior JP document's 0.1.0: this document models one complete, self-contained, generic application form in full (not a partial cover sheet of a larger multi-part process), the same basis this registry has used elsewhere for a 1.0.0 initial release (e.g. ee/vm/long-stay-visa-application).
  • Conditional requiredness uses requiredWhen (GSP-0013), consistent with every other recent document in this registry.

Re-verification

Per the practice's cadence, nextReviewBy is set to 2027-01-09 (6 months). A future review should prioritize the Legal Affairs Bureau's Stock Company Establishment Registration Application (houmukyoku.moj.go.jp, flagged above) as Japan's remaining open Business Formation candidate, and consider whether any of this form's other 10 language editions reveal a field this English edition's translation understated.

View the raw record (VERIFICATION.md)

Version history

  • 1.0.0 draft latest this page has verification record schema.json

Independent and non-affiliated

GovSchema is an independent, open-source project. This reference is not produced, reviewed, or endorsed by Japan Agency for Local Authority Information Systems (地方公共団体情報システム機構) or any government. The authoritative source is always the live government form and its official instructions.