Japan Emergency Life-Saving Technician National Exam Photo: Size Spec and How to Create It
A spec-compliant Japan Emergency Life-Saving Technician (救急救命士) national exam photo (60mm × 40mm) from a smartphone shot for ¥200, per the Ministry of Health, Labour and Welfare and the Japan Foundation for Emergency Medicine.
| Dimensions | 60mm × 40mm |
|---|---|
| Face length | Not specified |
| Top margin | Not specified |
| Background | No official background color requirement; plain background in white to light shade is recommended by convention |
| Shoot-by window | Taken within 6 months of application |
| Official issuer | Ministry of Health, Labour and Welfare (MHLW) / Japan Foundation for Emergency Medicine |
View the official source ↗(Last verified: 2026-05-27)
Verbatim official spec
The verbatim official rule from Japan's Ministry of Health, Labour and Welfare is shown below in the original Japanese.
- 「出願前6月以内に脱帽正面で撮影した縦6センチメートル、横4センチメートルのもの」
- 「その裏面には撮影年月日及び氏名を記入し、一般財団法人日本救急医療財団において交付する受験写真用台紙に貼り付けた上、同台紙に所定の事項を記入して提出すること」
- 「写真が受験者本人と相違ない旨の確認を受けること」
Why this spec matters
The Emergency Life-Saving Technician (kyukyukyumeishi) is a national qualification under the Emergency Life-Saving Technician Act of 1991, performing emergency life-saving procedures at the scene and during ambulance transport — including special acts such as tracheal intubation and drug administration. The 49th exam (March 2026) saw 3,524 examinees with a 94.9% pass rate; while the pass rate is relatively high, any photo defect causes rejection at the application stage. The size is the standard 60mm × 40mm shared across medical national exams, and the photo must be taken within 6 months before application. Two requirements are stricter than other medical exams: first, the "exam photo mounting sheet" is issued by the Japan Foundation for Emergency Medicine (not MHLW or the exam office); second, an identity-confirmation seal from the training program head, a hospital/clinic director, or the foundation chair is required to certify the photo is genuinely of the applicant. Submitting a standalone photo is not accepted, so plan your shoot, print, back-side annotation, mounting, and identity-confirmation seal well ahead of the application deadline.
How to create it for ¥200
A spec-compliant Emergency Life-Saving Technician exam photo takes about two minutes with a smartphone and ¥200. Plan the back-side annotation, mounting on the foundation sheet, and identity-confirmation seal in advance.
- 1
Take the photo on your smartphone
Stand against a plain wall in a bright room. Face the camera directly, no hat, neutral expression or slight smile, both shoulders level, eyes on the lens. - 2
AI removes the background and aligns to spec
Upload the photo and select the "Emergency Life-Saving Technician Exam" preset. AI removes the background, detects your face, and auto-crops to the 40×60mm size. - 3
Print, write on back, glue to foundation sheet, obtain identity-confirmation seal
After payment, a QR code and 8-digit user number arrive by email. Print at any Japan convenience store, write the date taken and your full name on the back with a black ballpoint pen, glue the photo to the mounting sheet issued by the Japan Foundation for Emergency Medicine, then obtain an identity-confirmation seal from the training program head, hospital/clinic director, or foundation chair before submission.
Create a Spec-Compliant Emergency Life-Saving Technician Exam Photo for ¥200
AI auto-adjusts your smartphone shot to the 40×60mm spec. A QR code for convenience-store printing is emailed to you. Plan the back-side annotation, mounting on the foundation-issued sheet, and identity-confirmation seal with plenty of lead time.
Create now — ¥200What Ramune AI ID Photo offers
Even for a tight spec like My Number, you can finish the entire shoot → process → print workflow in your browser.
0.1mm face position adjustment
Drag the hairline, chin, and face-width guides — or type the millimetre value — to fit inside even a 4mm-wide regulatory window like the My Number spec.
Auto-generated L-size print sheet
Multiple photos optimally arranged on L-size paper with cut marks. Print directly at home or at a convenience store.
AI removes the background automatically
Walls or objects in the original shot are auto-removed; AI converts the photo to the plain background the spec requires.
AI skin smoothing with a natural finish
Auto-reduces blemishes and uneven tone while keeping a natural look. Choose between the original and the smoothed version.
Print at 55,000 convenience stores nationwide
Scan a QR code at the multi-copy machine in 7-Eleven, FamilyMart, Lawson, Ministop, or Poplar — L-size prints from ¥30.
5-language support, no app required
Japanese, English, Chinese, Korean, and Vietnamese — works entirely in your smartphone browser without installing an app.
Frequently asked questions
What is the "exam photo mounting sheet"?
Whose seal is required for identity confirmation?
Is the spec the same as other medical national exams such as Nurse?
Is the exam administered by CBT?
What if I am not enrolled in a training school and cannot easily obtain a hospital director seal?
Related content
Create a Spec-Compliant Emergency Life-Saving Technician Exam Photo for ¥200
AI auto-adjusts your smartphone shot to the 40×60mm spec. A QR code for convenience-store printing is emailed to you. Plan the back-side annotation, mounting on the foundation-issued sheet, and identity-confirmation seal with plenty of lead time.
Create now — ¥200