An application prescribed in Article 4, paragraph (3) of the Special Act on the Immigration Control of, Inter Alia, Those Who Have Lost Japanese Nationality Pursuant to the Treaty of Peace with Japan (Act No. 71 of 1991; hereinafter referred to as the "Act") must be filed by submitting the following documents:
日本国との平和条約に基づき日本の国籍を離脱した者等の出入国管理に関する特例法（平成三年法律第七十一号。以下「法」という。）第四条第三項に規定する申請は、次に掲げる書類を提出して行わなければならない。
a written application for special permission for permanent residence pursuant to the Appended Form No. 1;
別記第一号様式による特別永住許可申請書一通
a photograph (a photograph that is taken within six months before the date of application, which satisfies the requirements specified in the Appended Table I, and with the applicant's name written on the back; the same applies in paragraph (1) of the following Article, Article 7, paragraph (1), Article 8, paragraph (1), Article 9, paragraph (1), and Article 10, paragraphs (1) and (2));
a document certifying that the applicant was born in Japan;
本邦で出生したことを証する書類
for a person who has come to stay in Japan for a reason other than birth, a document certifying that reason; and
出生以外の事由により本邦に在留することとなった者にあっては、当該事由を証する書類
a document certifying that the applicant is a descendant of a person who has lost Japanese nationality under the Treaty of Peace with Japan.
平和条約国籍離脱者の子孫であることを証する書類
When the application referred to in the preceding paragraph is filed for a person under one year of age, submission of a photograph is not required. However, this does not apply when the Commissioner of the Immigration Services Agency has determined that submission is required.
一歳に満たない者について前項の申請をする場合は、写真の提出を要しない。ただし、出入国在留管理庁長官が提出を要するとした場合は、この限りでない。
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