以下1～3の条件を全て満たしていること。

1. 所得税法上及び健康保険上、父母等の扶養親族でないこと。
2. 本人（及び配偶者）の父母等と別居していること(世帯分離は、別居とはみなしません）
3. 本人（又は配偶者）に独立して生計を営むに十分な収入（年間123 万円を超える給与収入または事業等の所得があること）が継続してあり、その収入について所得申告がなされ、所得課税証明書により確認できること。

1. 勤務地の関係（単身赴任・出稼ぎ等）で別居している父母
2. 生計維持者の扶養親族で就学又は病気療養のため別居している者
3. 生計維持者が扶養親族としている別居の祖父母等

例：父、母、兄（学生）、姉（社会人）、祖父母（生計維持者の扶養親族でない）が同居している場合、同一世帯とは、父、母、兄とします。扶養親族から外れている姉と祖父母は含みません。

* 一般学生の⽣計維持者は原則⽗⺟。父母が無職，専業主婦，⾼齢者等でも⽣計維持者として扱います。⽗⺟ともいない場合は⽗⺟に代わる⽣計維持者になります。

本人、配偶者、本人又は配偶者の税法上の扶養親族（子等）

配偶者がいる場合、健康保険や税法上の扶養関係の有無にかかわらず申請者と同一生計である者とみなし、収入に関する書類等の提出が必要です。

• 本人の収入：123 万円を超える給与収入または事業等の所得があることが令和８年度所得課税証明書に記載される場合のみ入力
• 生計維持者の収入：令和７年分の給与収入及び給与外所得について全て入力（所得課税証明書に反映される一時所得を含む）

※年の途中での退職、転職、就職等の家計変更がある場合や出産および育児休業等で休職し、基準日には無収入を予定している場合も前年1年間の所得課税証明書の金額で算定します。

※所得課税証明書に記載のない遺族年金、障害年金、児童扶養手当等は算入しません。ただし、生活保護世帯においては、保護決定通知書により収入を算入します。

※生計維持者以外の収入は算入しません。

• 本人（及び配偶者）の収入：令和７年分の給与収入及び給与外所得について全て入力（所得課税証明書に反映される一時所得を含む）

※年の途中での退職、転職、就職等の家計変更がある場合や出産および育児休業等で休職し、基準日には無収入を予定している場合も前年1年間の所得課税証明書の金額で算定します。ただし、年の途中の転職・退職により継続して独立生計の要件を満たす収入の見込がない場合は「独立生計者」として申請不可。「一般学生」として生計維持者の所得課税証明書を提出すること。

※前年の所得課税証明書では要件を満たす収入がないが、申請年の1月1日以降新たに就職し要件を満たす収入の見込みがある場合に限り、例外として独立生計者として申請を認めます。この場合は収入見込額を入力してください。

※所得課税証明書に記載のない遺族年金、障害年金、児童扶養手当等は算入しません。

• 本人（及び配偶者）の収入：令和７年分の給与収入及び給与外所得について全て入力

ただし、令和７年1月1日時点で渡日していない者は見込額で入力してください。

Where the applicant falls under neither the “Self-supported individual” or “International student” categories below

Self-supported individual*(Employed persons)

All of conditions 1-3 below must be met.

1. The applicant is not a dependent of their parents, etc. under the Income Tax Law or for health insurance purposes
2. The applicant (and their spouse) lives separately from their parents.(Separation of households shall not be regarded as separation)
3. The applicant (or their spouse) has sufficient income to support themselves independently (To have annual salary income or business-related income in excess of JPY 1,230,000 yen.) on an ongoing basis, and that income is reported and can be confirmed with the Certificate of Income Taxation.

International
students*

The applicant, the main income earner (in principle, a parent) and dependents of the main income earner under the Income Tax Law (Regardless of whether they live under the same roof) and include the

following:

1. Parents who live separately due to their work (a posting away from home, migrant workers, etc.)
2. Dependents of the main income earner who live separately for schooling or medical treatment
3. Grandparents living separately who are dependents of the main income earner

E.g., Where a father, mother, brother (student), sister (working adult), and grandparents (not dependents of the main income earner) are living together, the household is defined as the father, mother and brother. The sister and grandparents, who are not dependents, are not included.

* In principle, the primary financial supporters for general students are the father and mother. Even if they are unemployed, full-time homemakers, or elderly, they are still regarded as primary financial supporters. If both parents are absent, the person who assumes financial responsibility in their place will be considered the primary financial supporter.

The applicant, the spouse, and dependents (children, etc.) of the applicant or the spouse under the Income Tax Law

If the applicant has a spouse, regardless of whether he/she is dependent on the applicant for health insurance or tax purposes, he/she is regarded as a person living in the same household as the applicant and is required to submit documents relating to income etc.

The applicant, the spouse living in Japan and dependents of the applicant under the Income Tax Law (children, parents living in Japan, etc.)

General students

• The applicant’s income: Fill in only if salary income or business income of JPY 1,230,000 or more will be shown on the certificate of income taxation for FY2026.
• Income of the main income earner: All salaried and non-salaried income for 2025 (Including lump-sum income shown on the Certificate of Income Taxation)

*The calculation is based on the amount on the certificate of income taxation for the previous year, even if there is a change in household income such as resignation, job change or employment during the year, or if a person is absent from work due to maternity or parental leave and is expected to have no income on the reference date.

*Income not shown on the Certificate of Income Taxation, such as survivor’s pensions, disability pensions, child support allowance, etc., will not be included. In addition, for households receiving public assistance, income is to be calculated according to the public assistance decision notice.

*Income of persons other than the main income earner is not counted.

Self-supported
Individual
(Employed
persons)

• Income of the applicant (and the spouse): All salaried and non-salaried income for 2025 (Including lump-sum income shown on the Certificate of Income Taxation)

*The calculation is based on the amount on the certificate of income taxation for the previous year, even if there is a change in household income such as resignation, job change or employment during the year, or if a person is absent from work due to maternity or parental leave and is expected to have no income on the reference date. However, where there is no expectation of an ongoing income that meets the requirements for Self-supported individual due to a change of employment or unemployment during the year, the applicant cannot apply as a “self-supported individual.” In such cases, submit the Certificate of Income Taxation of the main income earner as a “general student”.

*Applicants who are newly employed after January 1 of the year of application and anticipate an income that meets the requirements, but who did not record an income that meets the requirements on their Certificate of Income Taxation for the previous year, may apply as self-supported individual as an exception. In such cases, please record estimated amounts.

* Income not shown on the Certificate of Income Taxation, such as survivor’s pensions, disability pensions, child support allowance, etc., will not be included.

International
students

• Income of the applicant (and the spouse): All salaried and non-salaried income for 2025

Applicants who had not yet arrived in Japan as of January 1, 2025, should enter estimated amounts.