Misprint on the Visa - Request for Correction

(日本語)

If you notice a misprint on your visa, please submit this form. We will determine the legitimacy of the correction request and provide you instructions by email on what to do next.

For Non-immigrant visas, corrections will only be available for unused visas within a year of their issuance. For immigrant visas, corrections will only be available for unused visas that are still valid.

This form is only used to inform us that your visa was not printed properly. This form cannot be used for general inquiries. For general inquiries, please use the Visa Information Service.
Electronic System for Travel Authorization(ESTA)is not a visa. For ESTA inquires, please see here or for ESTA corrections, please see the ESTA FAQs.

1.
Full name
(as in passport):
2.
Date of birth:
3.
Passport Number:
4.
Gender:
 Male  Female
5.
Visa Type:
6.
Annotation (if any):
7.
At which office did you apply for your visa?
 Tokyo
 Osaka
 Naha
 Fukuoka
 Sapporo
8.
Telephone number:
9.
E-mail address (required):
10.
Travel date (required):
11.
Explain your situation: