Form To Submit

Tell Us About You

Please submit this form prior to your personal consultation (step 1).

STEP 1: Policy

I understand Hanabusa's policy that they provide mortgage application services ONLY for those who wish to purchase a newly built detached houses sold by real estate companies or construction compies directly.

I'm living in Japan.

STEP 2: New House Search Area

Prefecture

Area

City

City

City

Ward

City

Ward

City

Ward

Ward

Ward

STEP 3: About You

First Name

Last Name

Middle Name

E-mail

Home Country (Place of Birth）

Residency Status

Gender

Male Female

Age

# of Job/Business

Yearly Income

Employment Status

Employment Period

Job Industry

Yearly Income from Job#1

Employment Status in Job#1

Employment Period in Job#1

Industry of Job#1

Yearly Income from Job#2

Employment Status in Job#2

Employment Period in Job#2

Industry of Job#2

Debt

Reason for the debt

Are you credit blacklisted or bankrupt?

YES NO

Saving Amount

Insurance Card Type

Social Insurance Card National Health Insurance Card Other cards

Identification

Driver's License Card My Number Card Other cards

Possession of Cars

Do you have any credit cards?

YES NO

Monthly Rental Fee for Your Current Residence

Step 4: About Spouse

Do you have a spouse (wife/husband)?

YES NO

Do you live with your spouse?

YES NO

Spouse's Residency Status

Spouse's Age

# of Spouse's Job/business

Spouse's Yearly Income

Spouse's Employment Status

Spouse's Employment Period

Spouse's Job Industry

Spouse's Yearly Income from Job#1

Spouse's Employment Period in Job#1

Spouse's Employment Status in Job#1

Industry of Spouse's Job#1

Spouse's Yearly Income from Job#2

Spouse's Employment Period in Job#2

Spouse's Employment Status in Job#2

Industry of Spouse's Job#2

Spouse's Debt

Is your spouse credit blacklisted or bankrupt?

YES NO

Insurance Card Type (Spouse's)

Social Insurance Card National Health Insurance Card Other cards

Identification (Spouse's)

Driver's License Card My Number Card Others

Does your souse have any credit cards?

YES NO

STEP 5: About Child

Do you have a child?

YES NO

Do you live with your child?

YES NO

Child's Age

-19 20-

Child's Residency Status

# of Child's Job/Business

Child's Yearly Income

Child's Employment Status

Child's Eployment Period

Chils's Job Industry

Child's Yearly Income from Job#1

Child's Employment Status in Job#1

Child's Employment Period in Job #1

Industry of Child's Job#1

Child's Yearly Income from Job #2

Child's Employment Period in Job#2

Child's Employment Status in Job #2

Industry of Child's Job#2

Child's Debt

Is your child credit blacklisted or bankrupt?

YES NO

Insurance Card Type (Child's)

Social Insurance Card National Health Insurance Card Other Cards

Identification (Child's)

Driver's License Card My Number Card Others

Does your child have any credit cards?

YES NO

STEP 6: About Parent

Do you live with your parent?

YES NO

Parent's Age

Parent's Residency Status

# of Parent's Job/Business

Parent's Yearly Income

Parent's Employment Status

Parent's Employment Period

Parent's Job Industry

Parent's Yearly Income from Job#1

Parent's Employment Status in Job#1

Parent's Employment Period in Job #1

Industry of Parent's Job#1

Parent's Yearly Income from Job #2

Parent's Employment Status in Job#2

Parent's Employment Period in Job #2

Industry of Parent's Job#2

Parent's Debt

Is your parent credit blacklisted or bankrupt?

YES NO

Insurance Card Type (Parent's)

Social Insurance Card National Health Insurance Card Other Cards

Identification (Parent's)

Driver's License Card My Number Card Others

Does your parent have any credit cards?

YES NO

Sent

E-mail confirming your submission was sent to your email inbox.

Sent

Thank you for sending your inquiry! We'll reach out to you as soon as we check the inquiry!

Sent

Thank you for submitting your pre-application form. For those who wish to forward your house purchase plan, please make an appointment for your personal consultation. We will help you develop the plan based on the submitted information at the consultation meeting.

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