Name of the organization of affiliation of the specified skilled worker:
Address:
Tel. no.:
Representative’s name and title:
Seal
I．Period of the employment contract
1. Period of the employment contract
（ From:
DD
MM
YYYY
to
DD
MM
YYYY
）
Scheduled date of entry:
DD
MM
YYYY
2. Renewal of contract
* If the contract may be renewed, the renewal of the contract shall be determined by the following criteria.
3. Limit on contract renewal
[If the employee has executed a fixed-term employment contract with the same employer under the Labor Contracts Act, and the total contract period exceeds five years]
By requesting the employer to execute an employment contract with no fixed term (a non-fixed term employment contract) during the term of the fixed term employment contract, the employee may change his/her employment contract to a non-fixed term employment contract with effect from the day following the last day of the fixed term employment contract (
DD
MM
YYYY
). If this applies, will the working conditions in the non-fixed term employment contract be changed from those in the fixed-term employment contract? (
II．Place of employment
* State the office of the accepting organization.
Name of office
Address
Contact information
(Extent of change)
Name of office
Address
Contact information
III.Contents of work to be engaged in:
1. Field （）
2. Work category（）
1. Field（）
2. Work category （）
IV．Working hours, etc.
１．Start and finish times
(1) Start time: (
)
Finish time: (
)
(Number of prescribed working hours in one day: (
) hours
( ) minutes
(2) 【If the following systems apply to the worker】
* If an irregular labor system is adopted, attach a copy of the yearly calendar in a language the specified skilled worker can fully understand, and a copy of the agreement on the irregular labor system submitted to the Labor Standards Inspection Office.
Start time（:
）
Finish time（:
）
Day applied（）: prescribed working hours for one day（
）hours（
）mins
Start time（:
）
Finish time（:
）
Day applied（）: prescribed working hours for one day（
）hours（
）mins
Start time（:
）
Finish time（:
）
Day applied（）: prescribed working hours for one day（
）hours（
）mins
2. Break time（
minutes）
3. No. of prescribed working hours ①Week（hours
mins）
②Month（hours
mins）
③Year（hours
mins）
4. No. of prescribed working days
①Week（days）
②Month（days）
③Year（days）
5. Overtime work
○Details are stipulated in Article ( ), Article ( ) and Article ( ) of the Rules of Employment.
V.Days off
1. Regular days off: Every , national holidays, others () (total number of annual days off: () days
2. Additional days off: () days per week/month, others ()
○Details are stipulated in Article ( ), Article ( ) of the Rules of Employment.
VI.Leave
1. Annual paid leave Those working continuously for six months or more → () days
Those working continuously for up to six months (
paid_leave) && $record->paid_leave == 1 ? 'checked' : '' }} type="radio" class="gino-radio form-check-input m-0 me-1" {{ $type == 'detail' ? 'disabled' : '' }} name="paid_leave">□ Yes
paid_leave) && $record->paid_leave == 2 ? 'checked' : '' }} type="radio" class="gino-radio form-check-input m-0 me-1" {{ $type == 'detail' ? 'disabled' : '' }} name="paid_leave">□ No) → After a lapse of () months and () days
2. Other leave Paid () Unpaid ()
3. Leave for temporary return home: If the specified skilled worker wishes to return home temporarily, he or she must be given necessary days off within the scope of the abovementioned 1 and 2.
○Details are stipulated in Article ( ), Article ( ) of the Rules of Employment.
7. Deduction from wages in accordance with labor-management agreement
* Details given in the attachment.
8. Wage raise
9. Bonus
Yes (Timing amount, etc.
)
10．Retirement allowance
Yes (Timing, amount, etc.
)
11. Leave allowance
Yes (rate
)
VIII. Items concerning retirement
1. Procedure for retirement for personal reasons (Notification should be made to the president or the factory foreman, etc. no less than
days before retirement)
2. Reasons and procedure for the dismissal
In cases of dismissal, the specified skilled worker shall be dismissed through being given 30 days' advance notice or at least 30 days of the average wage only when there are unavoidable reasons for the dismissal. In cases of dismissal based on a cause attributable to the fault of the specified skilled worker, there is the possibility of immediate dismissal without giving advance notice or the average wage being paid on approval being obtained from the Director of the Labor Standards Office Concerned.
Details are stipulated in Article ( ), Article ( ) of the Rules of Employment.
2. Health check at the time of hiring: Month (
) Year (
)
3. First regular health check: Month (
) Year (
) (every (
) afterwards)
4. Point of contact for matters concerning the improvement of employment management etc.
Name of department
Name of person in charge
(Contact information
)
5. If the specified skilled worker is unable to pay for the travel expenses to return to his or her home country after the termination of this contract, the organization shall pay for the travel expenses and take necessary measures to ensure smooth departure.
Recipient (signature)
Any other matters shall be governed by the company's Rules of Employment. Place and method of checking the Rules of Employment (
)
Reference Form 1-6 Attachment 1
PAYMENT OF WAGES
1. Basic wages
* Amount per hour in cases of monthly or daily wages (yen)
* Amount per month in cases of daily or hourly wages (yen)
2. Amount and calculation method etc. for various allowances (excluding the additional pay rate for overtime)
[If the worker is entitled to fixed overtime pay]
(e)（allowance yen）
- Requirement for payment: An overtime allowance for hours will be given regardless of whether the worker did overtime. The additional pay rate for overtime will be given for overtime exceeding hours.)
3. Estimated payment per month (1+2) approx.
yen (total)