記入例 Example of fill-in

How to fill in a notification of Moving out 転出届の書き⽅
・転出
Moving out
①
②
・Movement of the all household
⑥
コウエネ ケンジ
26 04
029 864 1171
√
26 04 23
③
④
⑤
・Some movement of the household
√
30
オーストラリア シドニー
つくば市⼤穂 1-1
⑨
⑧
⑫
コウエネ
ケンジ
コウエネ
ツマコ
KEKアパート B-102
⑩
1977
4
25
⑬1980
8
1
○
⑦
コウエネ ケンジ
⑪
主
⑭
○
妻
Please write all the members who
moving out
①
Name of the person who come for
report. (Write in Katakana)
⑨
Date of Birth
②
Date of report (Year/Month/Date)
⑩
男:Male / ⼥:Female
③
Date of moving in
⑪
Relationship (主:Householder)
④
New address
⑫
Name of your family
⑤
Present address
⑬
Date of Birth
⑥
Telephone number
⑭
⑦
Name of the householder
⑧
Name of the person moving in
(Write in Katakana)
妻:Wife, ⻑⼥:Eldest daughter
次⼥ : Second daughter
⻑男:Eldest son
次男: Second son
2014.04.23 KEK Users Office