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Japan Nurse National Exam Photo: Size Spec and How to Create It

A spec-compliant Japan Nurse (看護師) National Exam photo (60mm × 40mm, with the official white-background requirement) from a smartphone shot for ¥200, per the Ministry of Health, Labour and Welfare.

  • 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
BackgroundThe official spec explicitly requires a white background (stricter than other medical exams)
Shoot-by windowTaken within 6 months of application
Official issuerMinistry of Health, Labour and Welfare (MHLW), Japan

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 rules from Japan's Ministry of Health, Labour and Welfare are shown below in the original Japanese.

  • 「出願前6月以内に脱帽して正面から撮影した縦6センチメートル、横4センチメートル」
  • 「その裏面に撮影年月日及び氏名を記載し」
  • 「厚生労働省又は看護師国家試験運営本部事務所若しくは看護師国家試験運営臨時事務所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載して提出」
  • 「卒業し、若しくは在籍している指定大学、指定学校若しくは指定養成所又は…運営本部事務所…において、その写真が受験者本人と相違ない旨の確認を受ける」
  • 「白地のもの」

Why this spec matters

The Japan Nurse National Exam is the largest medical national exam in Japan, with about 60,000 candidates per year. The 115th exam (held 15 February 2026) had 59,614 candidates and an 88.3% pass rate — but the gap between new graduates (94.1%) and repeat candidates (32.3%) is dramatic, making the exam genuinely difficult for those out of school. The governing law is the Hoken-shi Josan-shi Kango-shi Hou (Public Health Nurse, Midwife, and Nurse Act, abbreviated Hojo-kan-hou, enacted 1948); old sources that cite a standalone "Nurse Act" are incorrect — this single law defines all three professions. The Nurse credential is the base qualification: both the Public Health Nurse (~7,000/year) and Midwife (~2,000/year) exams require holding a nursing license plus completing the respective training program, making Nurse the foundational credential and the other two upper-tier credentials. The photo spec is 60mm tall × 40mm wide, and unlike other medical exams, the official rule explicitly mandates a "white background" (白地). The applicant must also write the date taken and full name on the back, glue the photo to the official MHLW-issued mounting sheet, and have identity verified at the designated university / school / training facility or the exam administration office.

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 Nurse Exam photo takes about two minutes with a smartphone and ¥200.

  1. 1

    Take the photo on your smartphone

    Stand against a white wall in a bright room and 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 "Nurse National Exam" preset. AI sets the background to white, detects your face, and auto-crops to the 60mm × 40mm size.
  3. 3

    Print via QR code, write on back, glue to sheet, get identity verified

    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 MHLW-issued mounting sheet, then have identity verified at your designated school or the exam administration office.

Create a Spec-Compliant Nurse Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 60mm × 40mm MHLW spec with a white background. QR code for convenience-store printing is emailed to you.

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 Nurse / Public Health Nurse / Midwife 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.
How is this different from the Public Health Nurse and Midwife exams?
The Nurse credential is the base qualification — nurses provide patient care and assist physicians under medical direction. The Public Health Nurse (health guidance at public centers, municipalities, schools, and companies) and Midwife (midwifery; women-only eligibility) exams both require a nursing license plus completion of the respective training program, making Nurse the foundational credential and the other two upper-tier credentials. All three are governed by the same Public Health Nurse, Midwife, and Nurse Act (1948) and are typically held on the same day in mid-February with simultaneous results.
Why is the pass rate so much lower for repeat candidates?
The 115th exam (February 2026) had a 94.1% pass rate for new graduates but only 32.3% for repeat candidates. In-school curricula are optimized for the most recent exam trends, giving new graduates a significant advantage. Repeat candidates struggle to keep up with the latest question patterns and law changes, which is hard to do through self-study alone. If you are retaking the exam, in addition to mock exams and past papers, make sure to track the latest exam standard revisions carefully.
What is the difference between "Nurse Act" and "Hojo-kan-hou"?
"Nurse Act" is an informal shorthand; the correct legal name is the "Public Health Nurse, Midwife, and Nurse Act" (abbreviated "Hojo-kan-hou"). Enacted in 1948, it defines all three professions — Public Health Nurse, Midwife, and Nurse — in a single statute. Old sources that cite "Nurse Act, Article N" are usually pointing to the Hojo-kan-hou; always verify the correct legal name via MHLW or e-Gov legal search.
Is there a CBT (computer-based) version of the exam?
No — the Nurse National Exam continues to use paper mark-sheets. The 115th exam (15 February 2026) was held at exam venues nationwide with paper mark-sheets. While some medical and welfare national exams (such as Applied Information Technology Engineer) are moving to CBT, no CBT transition has been announced for the Nurse National Exam.
Can I sit the Public Health Nurse or Midwife exam on the same day?
Yes — the three exams (Nurse, Public Health Nurse, Midwife) are typically held on the same day in mid-February. However, sitting the Public Health Nurse or Midwife exam requires holding a nursing license (or passing the Nurse exam simultaneously). If you completed an integrated four-year curriculum that includes Public Health Nurse or Midwife training, the photo spec is identical (60mm × 40mm white background) for all three, so printing multiple copies from a single shoot is the most efficient option.
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.

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Create a Spec-Compliant Nurse Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 60mm × 40mm MHLW spec with a white background. QR code for convenience-store printing is emailed to you.

Create now — ¥200

Make yours to this spec

¥200 · pay after preview

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Japan Nurse National Exam Photo 40×60mm White BG | ¥200 — Ramune