Written Pledge for Individuals upon Entry into Japan

Written Pledge (For Individuals)

I, (Name) hereby declare the "Pledged Items" in Item one below at the time of return/re-entry/entry into Japan (hereinafter referred to as "entry"). I understand and consent to the following:

If I violate the Pledge, my name (name and nationality in the case of a foreign national) and information that could contribute to the prevention of the spread of infection may be publicized by the Ministry of Health, Labour and Welfare and/or other relevant authorities and I may be subject to detention or be subject to on-site location monitoring at the place of residence or declared accommodation facility under the provisions of the Quarantine Act. In addition, if I am a foreign national, I understand and accept that I may be subject to revocation of status of residence and deportation etc. (hereinafter referred to as "procedures for revocation of residence status, etc.") under the provisions of the Immigration Control and Refugee Recognition Act in case of the violation.

If it is confirmed that I have acted in a way suspected of violating the Pledge, the local government or relevant authority may provide information (including personal information) concerning the said act to the Ministry of Health, Labour and Welfare, and in the case of foreign nationals, to the Immigration Services Agency of Japan and/or other relevant authorities;

The Ministry of Health, Labour and Welfare may in some cases designate the accommodation facilities referred to in Pledge Item one e;

Information on the use of the export sales stores (tax-free shops) within a designated period of quarantine stated by the New border measures regarding boarder control (hereinafter referred as "a designated period of quarantine") after entering Japan (hereinafter referred to as "information on the use of tax-free shops") can be provided to the Ministry of Health, Labour and Welfare by the relevant export sales stores and the National Tax Agency; and if necessary, information on the use of tax-free shops, can be provided by the Ministry of Health, Labour and Welfare to the Immigration Services Agency of Japan and local public health offices in order to contribute to investigations (proactive epidemiological investigations based on Article fifteen of the Act on Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases; the same definition applies hereinafter) and procedures for revocation of residence status, etc.

For personal identification, location information, images, voice recordings, etc., may be collected by the apps indicated in Pledge Items one f and one g below, and the said information may be provided to the Ministry of Health, Labour and Welfare, and in the case of foreign nationals, to the Immigration Services Agency of Japan and/or other relevant authorities.

One. I pledge the following (Pledged Items):

(a) The certificate (or copy thereof) I submitted to the airport quarantine officer or immigration officer showing that the results of my COVID-nineteen test, taken less than seventy-two hours prior to my flight and certified by the local medical institution or relevant body, certifies that the test result was "negative," and there are no misrepresentations therein.

(b) The copy of the vaccination certificate I submitted to the airport quarantine officer, there are no misrepresentations therein.

(c) In case I will submit the negative test certificate of the voluntary test to Ministry of Health, Labour and Welfare (Health Monitoring Center for Overseas Entrants) to shorten the period of quarantine, there are no misrepresentations therein.

(d) Depending on the country or countries and/or region or regions where I have been prior to entering Japan, I may be required to stay at an accommodation facility designated by the quarantine station for a specified number of days. Additionally, I will follow direction of Ministry of Health, Labour and Welfare for the duration of stay at accommodation facility, including transportation to and from the airport.

(e) For the duration of a designated period of quarantine (including a case when the negative result of voluntary test is reported to the Ministry of Health, Labour and Welfare, and the period of quarantine is shortened, as written in c). The same applies hereafter. after entering Japan: (one) I will stay at the location of my home or the accommodations listed in Pledge Item two below, or accommodations designated by the quarantine station. If I must relocate due to unavoidable circumstances, I will consult with the local public health office or health authority with jurisdiction over my area and the Health Monitoring Center for Overseas Entrants prior to changing location. (two) I will not have direct contact with anyone I do not live with. (three) I will not use public transportation (trains, buses, cabs/taxies, domestic flights, etc.) except the case when I am allowed to use public transportation to get to the location of self-quarantine. (four) I will follow direction of the local public health office when receiving request for infection prevention.

use of public transportation is allowed when a passenger is heading directly towards the location of self-quarantine, and complete the travel within twenty-four hours after the test which a passenger has taken upon arrival at the airport.

(f) At the time of entry into Japan, I will install a smartphone application (app) designated by the Ministry of Health, Labour and Welfare on my smartphone, and every day until a designated period of quarantine is completed, I will report my health condition to the local public health offices and Health Monitoring Center for Overseas Entrants via the app or via the e-mail address listed in Pledge Item two.

(g) At the time of entry into Japan, I will install an app designated by the Ministry of Health, Labour and Welfare on my smartphone, I will register my quarantine location, and every day until a designated period of quarantine is completed, I will send my location information, and when I receive a notification from the Health Monitoring Center for Overseas Entrants via the app designated by the Ministry of Health, Labour and Welfare I will answer with the smartphone's camera turned on. I will also begin retaining my location information through my smartphone's map application function, and retain the information until a designated period of quarantine is completed. In addition, I will send my location information to the Health Monitoring Center for Overseas Entrants upon request. Also, if I agree to install a COVID-nineteen Contact-Confirming App designated by the Ministry of Health, Labour and Welfare on my smartphone, I will ensure that the app remains active until a designated period of quarantine is completed.

(h) At the time of entry into Japan, if my smartphone is not compatible with these apps specified in f and g, or if I do not have a smartphone, I will rent a smartphone at my own expense in the airport quarantine area and carry it with me at all times.

(i) I will respond in good faith to communications and inquiries from the Ministry of Health, Labour and Welfare, the Immigration Services Agency of Japan, and/or other relevant authorities regarding compliance with this Pledge. I understand that not responding without justifiable reason, refusing or hindering investigations, or making a false report, etc., may be a violation of the Pledge.

(j) If I develop any symptoms within a designated period of quarantine after entering Japan, I will immediately telephone the COVID-nineteen call center that serves the region where my home or accommodations are located as published by the prefecture, tell them where I have been, and go to a designated medical institution for a medical examination. In addition, I will follow any instructions from the local public health office or relevant authority.

(k) If I am tested positive after entering Japan and the onset date is within a designated period of quarantine, I will cooperate with investigations by promptly presenting my passport number and the location information saved on my smartphone or other device after entering Japan to the local public health office or relevant authority with jurisdiction over my region (as for the passport number, besides the local public health office, also to the medical institution conducting the medical examination). Also, for the purpose of investigations, I agree that the local public health office may view my passport number, name, gender, date of birth, etc., kept by the Ministry of Health, Labour and Welfare. In addition, if I receive instructions from the local public health office or related institutions, including instructions from a medical facility, I will follow them.

(l) I will take these following actions to prevent the spread of infection:

(one) Wear a mask, (two) Wash my hands thoroughly, (three) Avoid closed spaces, crowded spaces, and close-contact settings (the "three Cs").