八雲学園中学校長 殿                                                証明日            年         月            日
                                                                      Date     (year)        (month) (day)
 
 
 
 
                                     海 外 在 留 証 明 書
                                       Certificate of Residence Abroad
 
 
    下記の通り、保護者の海外勤務に伴い海外在留（滞在）していたことを証明いたします。
   I hereby certify the applicant was a resident out of Japan because her parent has worked abroad as follows;
 
 
 
                                                        記
 
 
 志 願 者 氏 名
 Name of Applicant
 
 保 護 者 氏 名
 Name of Parent
 
 滞在国：国 名
           Country
 
           都市名
           City
 
 
 志願者滞在期間                              年         月           日                 年         月           日
 Applicant’s Period of Residence   (year)     (month)       (day)             (year)        (month)    (day)
 
 
 保護者滞在期間                              年         月           日                 年         月           日
 Parent’s Period of Residence      (year)        (month)    (day)             (year)        (month)    (day)
 
 
 
 
                                             社名                                                          (印)
                                             Name of Employer (stamp)
                                             証明者役職・氏名                                              (印)
                                             Name & Post of Certifier (stamp)
                                             所在地
                                             Address of Employer
                                             電話番号
                                             Phone Number of Employer