Application for Assistance Service for Individual Reporting

Apply through the following application form, preferably one month, at
least two weeks, before your arrival in Japan or the start of your news
gathering activities. We may not be able to accept your request, if it comes
at such short notice as one week before. 

*Note: All information requested in the application form is needed. Please leave no blanks.

Full name of journalist (camera crew) * ：
Nationality of journalist * ：
Name of company/publication etc.* ：
Brief description of company* ：
Current job title of journalist and brief personal background * ：
Contact ：E-MAIL * ：
Contact ：TEL * ：
Contact ：FAX

：
Period of stay in Japan
：
(ex) Oct 10, 2006 - Oct 16, 2006
Period of report in Japan ：
(ex) Oct 13, 2006 - Oct 14, 2006
Subjects of planned reporting ：
Names of persons or organizations to be interviewed/filmed ：
A list of specific questions for each interviewee ：
When planned articles/programs will be published/aired ：
(ex) Oct 27, 2006
Contact in Japan ：
Whether interpreters or coordinators for reporting can be hired ： yes　　 no　　 ?
Any other information FPCJ should know ：
Please e-mail(ma@fpcjpn.or.jp) or fax(81-3-3501-3622) to FPCJ a photocopy of press ID card issued by the employer. Freelancers should send a letter of introduction by the contractor. Business cards cannot be accepted.
Please send FPCJ a copy of newspaper/magazine by post, if possible.