PSA Authorization Letter for a Japan Visa: What It Says and How to Sign It
In short
- The PSA authorization letter for a Japan visa lets the Philippine Statistics Authority give your certificates to the Embassy of Japan for verification.
- The Embassy of Japan in the Philippines publishes the letter as a form. You write your name, sign and date it.
- It is on the Visiting Relatives list, next to the PSA birth and marriage certificates.
- Below: the text explained paragraph by paragraph, and a filled-in sample.
Free Excel worksheet · no sign-up
Authorization Letter (PSA verification)
Sheets: Guide, Fill in, Example · 10 KB · .xlsx (Excel, Google Sheets, Numbers)
Download the Excel fileContents
What the PSA authorization letter is for
The PSA authorization letter for a Japan visa is a consent form. The Embassy of Japan in the Philippines checks that the PSA birth and marriage certificates it receives are genuine. The letter lets the Philippine Statistics Authority (PSA) release copies of your records directly to the embassy for that check.
On the embassy's Visiting Relatives list it appears as item 6, "Authorization Letter (for purpose of verification of PSA certificates)", marked as downloadable from the embassy website.
You do not write the letter yourself: download the embassy's form, put your name in the blank, sign and date it.
The text, paragraph by paragraph
| Paragraph | What it says | What you do |
|---|---|---|
| Opening | "I, ____, applicant for Japan Visa, hereby authorize the Philippine Statistics Authority..." to disclose information to the Embassy of Japan | Write your full name as in the passport |
| Certificates | Live birth, marriage, death, and no marriage (CENOMAR), covering you and your parents, spouse, children and siblings | Nothing |
| Express authority | PSA or its agents may issue copies to the embassy for verification related to your visa application | Nothing |
| Data processing | You are aware of how your personal data is processed and hold PSA and the embassy free from claims | Nothing |
| Signature | Signature of Applicant, Date | Sign and date |
The certificates list includes your family's records because a visiting-relatives application proves the relationship through several people's birth and marriage certificates.
Advertisement
A filled-in sample
Dear Sir/Madam,
I, SANTOS MARIA CRUZ, applicant for Japan Visa, hereby authorize the Philippine Statistics Authority, through its authorized representative, to disclose all information to the Embassy of Japan...
Signature of Applicant: (signature). Date: 20 November 2026
Only the name, the signature and the date change from person to person.
PSA authorization letter: questions
Where do I get the form?
The Embassy of Japan in the Philippines links it on its visa page as "Authorization Letter": Authorization Letter (ph.emb-japan.go.jp).
Does each family member sign one?
The form is written in the first person by "applicant for Japan Visa". Each applicant signs their own. Ask the visa center if a parent signs for a child.
Is it needed for a tourist visa?
It is on the Visiting Relatives list. The Tourism list (April 2025) does not include it. Check the list for your purpose on the embassy page.
Fill it in here
Type your answers below. The grey text is the example from this page. Your answers stay in this browser only; nothing is sent to us. Use the buttons to print your draft or copy it to paste into the official form.
Preview of the Excel file
This is the file itself, read back from the .xlsx. It opens on the completed example; the tabs switch sheets.
Sheet: Guide
| A | |
|---|---|
| 1 | PSA Authorization Letter for a Japan Visa: worksheet and example |
| 2 | From Japan Forms (https://forms.syojin.com/psa-authorization-letter-japan-visa/). Run by SYOJIN LLC, Tokyo. |
| 3 | |
| 4 | Sheets in this file |
| 5 | "Guide": this sheet. |
| 6 | "Fill in": the same fields as the official form, with what to write. Type your answers in the last column. |
| 7 | "Example": a completed example with made-up names. |
| 8 | |
| 9 | How to use it |
| 10 | 1. Download the official Authorization Letter from the embassy page and print it on A4. |
| 11 | 2. Write your full name in the blank after "I," exactly as in the passport. |
| 12 | 3. Sign on the "Signature of Applicant" line and write the date. |
| 13 | 4. Submit it with your PSA birth and marriage certificates. |
| 14 | |
| 15 | Common mistakes |
| 16 | A name that does not match the passport. |
| 17 | Forgetting the date. |
| 18 | |
| 19 | About this form |
| 20 | The Authorization Letter lets the Philippine Statistics Authority (PSA) release copies of your civil registry certificates to the Embassy of Japan so it can verify the ones you submit. The embassy publishes the letter as a one-page form; you only write your name, sign and date it. This file explains each part of the text and shows a completed example. |
| 21 | |
| 22 | The official form |
| 23 | Authorization Letter, Embassy of Japan in the Philippines (PDF): https://www.ph.emb-japan.go.jp/files/100825869.pdf |
| 24 | Visiting Relatives requirements, Embassy of Japan in the Philippines (PDF): https://www.ph.emb-japan.go.jp/files/100508283.pdf |
| 25 | |
| 26 | Before you use this file |
| 27 | This is a drafting aid, not an official document. Submit the form your embassy or consulate asks for. |
| 28 | Requirements differ by country and change without notice. Check the website of the Japanese embassy or consulate that handles your application before you submit. |
| 29 | You may edit, print and share this file. Please do not sell it. |
| 30 | |
| 31 | Sources |
| 32 | Embassy of Japan in the Philippines, Authorization Letter (files/100825869.pdf). |
| 33 | Embassy of Japan in the Philippines, Visiting Relatives (within the third degree), item 6. |
| 34 | |
| 35 | Last checked |
| 36 | 2026-11-12 |
Sheet: Fill in
| A | B | C | |
|---|---|---|---|
| 1 | Authorization Letter (PSA verification) - worksheet | ||
| 2 | |||
| 3 | Applicant | ||
| 4 | Date | ||
| 5 | |||
| 6 | Part of the letter | What it means | You write |
| 7 | "I, ____, applicant for Japan Visa" | Who gives permission | Your full name |
| 8 | Authorize the Philippine Statistics Authority | PSA may disclose your civil registry information to the Embassy of Japan | Nothing |
| 9 | Certificates covered | Live birth, marriage, death, and no marriage (CENOMAR); yours and your parents', spouse's, children's and siblings' | Nothing |
| 10 | Purpose | Verification related to your visa application | Nothing |
| 11 | Consent to data processing | You understand how your data is handled and do not hold PSA or the embassy liable | Nothing |
| 12 | Signature of Applicant / Date | Your signature and the date | Signature, date |
Sheet: Example
| A | B | C | |
|---|---|---|---|
| 1 | Authorization Letter (PSA verification) - completed example | ||
| 2 | |||
| 3 | Applicant | SANTOS MARIA CRUZ | |
| 4 | Date | 2026/11/20 | |
| 5 | |||
| 6 | Part of the letter | What it means | You write |
| 7 | "I, ____, applicant for Japan Visa" | Who gives permission | SANTOS MARIA CRUZ |
| 8 | Authorize the Philippine Statistics Authority | PSA may disclose to the Embassy of Japan | (printed) |
| 9 | Certificates covered | Birth, marriage, death, CENOMAR of the applicant and family | (printed) |
| 10 | Signature of Applicant / Date | Signature and date | (signature) / 20 November 2026 |
Free Excel worksheet · no sign-up
Authorization Letter (PSA verification)
Sheets: Guide, Fill in, Example · 10 KB · .xlsx (Excel, Google Sheets, Numbers)
Download the Excel fileSummary: the PSA authorization letter
The PSA authorization letter for a Japan visa is the embassy's consent form for verifying your PSA certificates. Download it, write your name as in the passport, sign and date it, and submit it with your birth and marriage certificates.
The Excel sheet below explains each paragraph and shows the sample. For the rest of the Visiting Relatives list, see the [Japan visa requirements checklist](/japan-visa-requirements-philippines/).
Free Excel worksheet · no sign-up
Authorization Letter (PSA verification)
Sheets: Guide, Fill in, Example · 10 KB · .xlsx (Excel, Google Sheets, Numbers)
Download the Excel fileAdvertisement
Other forms
Certificate of Employment (Japan visa)
Visa Application Form to Enter Japan
Travel Itinerary / Schedule of Stay (Taizai Yoteihyo)
Japan Visa Document Checklist (Philippines)
Letter of Explanation (Japan visa)
Letter of Guarantee (Mimoto Hoshosho)
Letter of Invitation (Shohei Riyusho)
List of Visa Applicants
Zaishoku Shomeisho (Certificate of Employment)