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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.

  • Pay after preview · refund guaranteed
  • Matches the official spec (verified 2026-05-27)
  • Print at any Japan conbini
Official spec data
Dimensions60mm × 40mm
Face lengthNot specified
Top marginNot specified
BackgroundNo official background color requirement; plain background in white to light shade is recommended by convention
Shoot-by windowTaken within 6 months of application
Official issuerMinistry of Health, Labour and Welfare (MHLW) / Japan Foundation for Emergency Medicine

View the official source(Last verified: 2026-05-27)

Only photos taken within the last 6 months are valid — check when your current photo was taken.

Turn a phone shot into a photo that meets this exact spec. Preview the result first — then pay ¥200. Full refund if it's rejected.

Create with this spec

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.

Price & risk comparison

Ramune AI ID PhotoRefund guaranteed

Preview free → pay only if you like it / full refund if rejected

¥200
Photo booth

No retakes — final on the spot

¥700〜1,000
Photo studio

Booking & visit required

¥1,500〜
Rejected at the counter

1–2 weeks lost

Re-shoot + re-apply

* Other prices are typical market estimates. With Ramune you pay only after seeing the result, with a full refund if the photo is rejected.

Preview your photo free first

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. 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. 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. 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 — ¥200

What 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.

Cropping screen with horizontal and vertical guidelines to adjust face position, width, hairline, and chin in 0.1mm units

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 the QR code at the multi-copy machine in Lawson, FamilyMart, Ministop, or Poplar — L-size prints from ¥30. At 7-Eleven, register the image with netprint first.

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

Can I upload the photo online for the Emergency Life-Saving Technician National Exam?
No. The Ministry of Health, Labour and Welfare's official notice specifies a print photo — "a front-facing, hatless photo taken within 6 months before application, 6cm tall by 4cm wide, with the shooting date and your name written on the back, glued onto the official photo-mounting card" — submitted by mail. There is no digital upload path. Ramune generates print data sized exactly to this 6cm×4cm spec, so you just print it at any Japan convenience store and glue it onto the card.
What is the "exam photo mounting sheet"?
It is the dedicated sheet issued by the Japan Foundation for Emergency Medicine onto which the photo must be glued. For the Emergency Life-Saving Technician exam, this mounting is mandatory — a standalone photo will not be accepted. The sheet is distributed via your training school or by the foundation during the application period. Unlike other medical exams (Nurse, Public Health Nurse, etc.) where MHLW or the exam office issues the sheet, this exam uses a sheet issued by the foundation.
Whose seal is required for identity confirmation?
A seal from the training program head, hospital or clinic director, or the chair of the Japan Foundation for Emergency Medicine. The seal certifies that "the photo is genuinely of the applicant", and this responsible person stamps the mounting sheet. This is unique to the Emergency Life-Saving Technician exam — other medical exams do not require it. Trainees typically obtain it from the training program head, while practicing technicians obtain it from their facility director.
Is the spec the same as other medical national exams such as Nurse?
The size (40×60mm) and validity (within 6 months before application) are shared across the medical exams. However, the issuing body for the mounting sheet and the identity-confirmation seal are unique to the Emergency Life-Saving Technician exam, so even when reusing a photo from a Nurse or Public Health Nurse application, the mounting and the seal must be redone according to the Emergency Life-Saving Technician requirements.
Is the exam administered by CBT?
No. The Emergency Life-Saving Technician national exam continues to be administered on paper with a mark-sheet format; CBT has not been introduced. The traditional process of mailing the photo-glued application by the deadline remains in effect, as do the photo requirements.
What if I am not enrolled in a training school and cannot easily obtain a hospital director seal?
The identity-confirmation seal from the chair of the Japan Foundation for Emergency Medicine is an option in such cases. The specific procedure and required documents are announced in each year's exam guide, so check the latest information on the foundation website (qqzaidan.jp) and contact the foundation early to arrange the procedure.
What if my photo was the wrong size and got rejected?
No re-shoot needed. Upload your smartphone photo and AI auto-adjusts it to the correct spec in about 2 minutes. Preview free, pay ¥200 only if you like it, full refund if it's rejected — avoiding the 1–2 week loss of a counter re-shoot and re-application.

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
Japan Emergency Life-Saving Technician Exam Photo 40×60mm | ¥200 — Ramune