(Your current place of residence.)TANIGOWitnessesURUHARUSHIAMAKAIMAKAITokyo-to
Itabashi-ku
Cover Corp's OfficeBirthplaceTokyo-to
Itabashi-kuFUKUDATanigo MotoakiKazuyuki Fukuda
CTO, Cover Corp.Wife-to-beYasuyuki PapaEldestFirst MarriageFatherMarriage RegistrationHusband-to-beResidence(In the case of a foreigner, please only write the country name.)
