| Form 1iArticle 4j
Submission Date : YYYY@@MM@@DD
To. Mayor of Shibuya City
Nationality a@@@@@@@@@@@@@@@@
Applicant@@Address a
Contact Information a@@@@@@@@@@@@@@@@@@@
Name@@@@@@@@@@@@@@@@@@@
Application for confirmation of Business
Activities
I hereby apply for the confirmation of Notification
No. 5-6 according to the Notification No.
5-4 specified under program to foster international
entrepreneurship.
Attachments
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Required Documents
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Check
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P
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Business Startup Activities Confirmation
Application
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Q
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Schedule of business activity
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R
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Resume of the applicants
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S
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Pledge
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T
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A document that guarantees your place of
residence for six months after arriving in
Japan (copy of the rental contract, or application
for rental contract, etc.)
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U
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A document that shows your bank account balance
(copy of your bank book)
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V
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A document that verifies the content of required
documents such as certification from school,
contract with previous companies you work,
etc.,
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W
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Copy of your passport
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X
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Other documents allow us to understand your
business plan or yourself.
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| Form 1-2 (relating to Article 4)
Business Startup Activities Confirmation
Application
Year@@@Month@@@Day
Name of the applicant@@@@@@@@@@@@@@@@@@@
P@General information about the applicant
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iPjMotive for launching your business and your
plan in the future (including why you start
in Shibuya)
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iQjYour position & role in the business
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iRjYour qualification, work history, special
skills, patents, etc. that lead you to start
a business
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iSjThe name of your cofounder(s) or business
partner(s) if applicable
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iTjYour plans for launching a business (detail
what you expect when the business is founded)
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A. Business Registration Date
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@@@@@Year@@@Month@@@Day@@Date of Corporate Registration
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B.@Type of Business
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C. Products or Services @ to provide
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D. Business Office Address
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E. Capital Investment (or Self financing)
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@@@@@@@@@@@@@@@ @Thousand(s) Yen
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F. Shareholders list (ownership ratio)
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Shareholder(s) name
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Address
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Ownership ratio
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%
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Total
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G. Board Members
(other than the applicants)
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NameF
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NationalityF
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AddressF
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PositionF
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H. Number ofEmployees
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1st year
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Full-time employees:
Part-time workers: @@ (Total Numbers @@@)
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2nd year
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Full-time employees:
Part-time workers: @@ (Total Numbers @@@)
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3rd year
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Full-time employees:
Part-time workers: @@ (Total Numbers @@@)
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Q@Business Outline
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iPjOutline of your businessiProducts or Servicesj
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iQjSales method of your products or services
(sales channel, sales method, unit price)
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iRjManufacture, supplier, partners, supporters,
cost of goods sold and the detail of the
cost
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iSjRequired operational resources (capital,
office, equipment, licenses, employees, etc)
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iTjThe reasons why your business makes profit,
the differentiators against the other competitors
in Shibuya (innovative technology, product,
service, business model, etc.)
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R@Plans of making profit
@Business Registration Date (plan)@@@@@@Year@@@Month@@@Dayiplanj
iunit: thousand yenj
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Fiscal Year (end of month)
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1st year
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2nd year
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3rd year
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Salesiaj
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Cost of Goods Sold (COGS), including the
cost of material, labor, expenses, outsourcing
fee)ibj
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Gross Profit on Salesic=a-bj
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Sales, General and Administrative Expensesidj
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Marketing, advertising, and promotion expenses
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Communications (Tel/Internet)
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Rent/Utilities
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Transportation/Travel
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Accounting and Legal Cost
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Miscellaneous
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Salary (Employee)
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Director Salary (Founder)
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Operating profitie=c-dj
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Interest Expensesifj
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Ordinary incomeigj
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Special incomeihj
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Net income before taxiij
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Net income after taxijj
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¦ Corporate tax is fixed at 40%.
¦ Do not count loss carried forward.
S@Capital planning
@Business Registration Date (plan)@@@@@@Year@@@Month@@@Dayiplanj
@Capital at the time of business registrationicash balancej@@@@@@@@@@@@Yeniplanj
iunit: thousand yenj
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Expected Fiscal Year (end of month)
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Year 1
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Year 2
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Year 3
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Use of Capital
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Real Estate (Land, Building, Security Deposit,
etc.)
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Facility (Machinery and
Equipment, etc.)
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Repayment of Loan
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Other
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Raising Capital
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Profit * (J) of 3. Plans of making profit
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Deprecation
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New Loan
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N/A
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Transfer of Personal Capital
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Other
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Remaining Capital Balance (Cash Balance)
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| Form 1-3iArticles 4j
Schedule of business activity
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Dates in (YY/MM)
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Business Activities
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Required capital
ihow to raise fundj
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At the time of submitting application
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Year / Month
(the First Month)
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Year / Month
(the Second Month)
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Year / Month
(the Third Month)
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Year / Month
(the Fourth Month)
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Year / Month
(the Fifth Month)
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Year / Month
(the Sixth Month)
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Dates in (YY/MM)
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Dates in (YY/MM)
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Dates in (YY/MM)
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Year / Month
(the Seventh Month)
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Year / Month
(the Eighth Month)
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Year / Month
(the Nineth Month)
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Year / Month
(the Tenth Month)
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Year / Month
(the Eleventh Month)
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Year / Month
(the Twelvth Month)
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¦Clearly state the business activities to
start your business after the submission
of the application.
iCurrent capital, additional fund via investment
or loan, office, equipment, employees, sales
strategy, suppliers&clients, product,
service, license, authorized business qualifications,
corporate registration, etc.)
¦ Business expenses must be associated with
the fundraising method (self-financing or
loan, etc)
¦ If you are renewing your visa, please write
down what you have done from the application
date to the renewal date.
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