COVID-19 vaccination certificates (Vaccine Passport) will be issued for those who have been vaccinated as proof for travelling abroad.
For the time being, this certificate will be issued to only those who actually plan to travel abroad.
Main certification details
Information concerning vaccinated person
Name, Date of Birth, Nationality, Passport Number
Vaccination records
- Vaccine maker
- Vaccine product name and its product number
Eligibility
Those who have been vaccinated by using the vaccination coupon tickets issued by Oizumi Town are eligible.
(Those who have been registered in the Oizumi Town as of the day of the vaccinations.)
Required documents for application
Please submit the following documents.
- Application form
- A copy of your Passport (The page with your passport number is required.)
- Your identification document
- A copy of your vaccination completion certificate (Sesshu-Zumi-Sho) or Vaccination Record (Sesshu-Kiroku-Sho)
If you need it by mail, a self-addressed envelope is required. (Please write your name and address and affix an 84 yen stamp).
When someone other than the applicant is applying on behalf of the applicant
The following documents in addition to the above 1~4 are required.
- Letter of attorney
- Proxy’s identification documents
If you are using a former name or an alias on your passport
The following documents in addition to the above 1~4 are required.
Documents confirming your former name or alias (Driver’s license card, Residence Certificate (Jyumin Hyo), etc.)
Application Method
At the counter
Applications are accepted at Health Promotion Division (Kenko-Zukuri-ka) at the 1st counter in Oizumi Town Health & Welfare General Center.
By mail
Send to:
〒370-0523
2465 Yoshida Oizumi-machi, Oura-gun, Gunma
Attention to: Health Promotion Division (Kenko-Zukuri-ka)
Time and cost to issue
It takes about one week from the date the application is received to the date of issuance.
It is free of charge.
Contact Information
About the system
If you have any general inquiries about COVID-19 Vaccination Certificate (Vaccine Passport), please contact COVID-19 Call Center (0120-761770) of Ministry of Health, Labour and Welfare.
About issuance
Health Promotion Division
Phone: 0276-62-2121
Counter: The 1st counter in Health Welfare General Center