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Japan Clinical Engineer Exam Photo: Size Spec and How to Create It

A spec-compliant Japan Clinical Engineer (臨床工学技士, CE) national exam photo (60mm × 40mm) from a smartphone shot for ¥200, per the Ministry of Health, Labour and Welfare and JAAME.

  • 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; convention is plain background, white or light pastel
Shoot-by windowTaken within 6 months of application
Official issuerMHLW / Japan Association for the Advancement of Medical Equipment (JAAME)

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 and the Japan Association for the Advancement of Medical Equipment (JAAME) are 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」
  • 「その裏面に撮影年月日及び氏名を記載」
  • 「公益財団法人医療機器センター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」
  • 「申請者が、当該写真の本人であることを、卒業した若しくは在学する学校又は養成所、若しくは医療機器センターにおいて確認」

Why this spec matters

A Clinical Engineer (Rinshō-Kōgaku-Gishi, CE) operates and maintains life-support equipment — mechanical ventilators, heart-lung machines, hemodialysis units, ventricular assist devices, ECMO — under a physician's direction. The profession is grounded in the Clinical Engineers Act (enacted 1987, effective 1988). The exam is administered by Japan's Ministry of Health, Labour and Welfare (MHLW), and operated by the Japan Association for the Advancement of Medical Equipment (JAAME). The photo spec — 60mm tall × 40mm wide — is shared across medical national exams (nurse, radiological technologist, medical laboratory technologist, etc.). The 39th exam (March 1, 2026) had 2,396 candidates with a 65.7% pass rate — the second-worst in history and a 13-point drop year over year, making it the hardest sitting on record. There are over 70 accredited training schools nationwide (4-year universities and 3-year vocational schools, per JAAME's October 2025 list). Note that this is distinct from the Medical Laboratory Technologist (MT) profession — MT covers specimen and physiological testing; CE covers operation and maintenance of life-support equipment. This page is for the CE exam only. The exam is a one-day paper-based test; no CBT migration is planned in the 2026 syllabus.

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 Clinical Engineer exam photo takes about two minutes with a smartphone and ¥200.

  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 "Clinical Engineer Exam" preset. AI removes the background, detects your face, and auto-crops to the 60mm × 40mm size.
  3. 3

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

    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 onto the JAAME-issued mounting sheet, and obtain the identity-verification seal at your training school or JAAME.

Create a Spec-Compliant Clinical Engineer Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 40×60mm MHLW/JAAME spec. 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 Clinical Engineer 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 does Clinical Engineer (CE) work differ from Medical Laboratory Technologist (MT)?
Clinical Engineer (CE) covers operation and maintenance of life-support equipment — mechanical ventilators, heart-lung machines, hemodialysis units, ventricular assist devices, ECMO. Medical Laboratory Technologist (MT) covers specimen testing (blood, urine, tissue) and physiological testing (ECG, EEG, ultrasound). Both exam photos use the 40×60mm size, but the governing law, administering body, and application workflow are completely separate, so photos and submission packets are not interchangeable.
Is the exam available via CBT?
No. As of the 39th exam (March 2026), the CE national exam remains a one-day paper-based test; no CBT (Computer-Based Testing) migration has been announced. MHLW's published 2026 syllabus continues the same paper format, and the photo requirements (40×60mm, within 6 months, JAAME mounting sheet, etc.) remain unchanged.
Why did the 39th exam (2026) become the hardest sitting on record?
The 39th exam had 2,396 candidates, 1,573 passes, and a 65.7% pass rate — the second-worst in history and a 13-point drop year over year. Neither MHLW nor JAAME has issued an official explanation, leaving "shifts in question coverage" as the most cited speculation. Candidates should pair past-paper drills with thorough review of the 2026 syllabus topics.
How do I get the JAAME identity check if I am not enrolled in a training school?
If you are a graduate or otherwise not affiliated with a training school, you can visit the Japan Association for the Advancement of Medical Equipment (JAAME) in person to obtain the identity-verification seal. Confirm visit hours and procedures on the official JAAME page (https://www.jaame.or.jp/ce/admission/) and allow ample time within the application window.
Can I reuse a photo from another medical national exam (Medical Laboratory Technologist, etc.)?
The size (40×60mm) and 6-month validity match, but the CE exam requires the photo on a JAAME-specific mounting sheet and an identity-verification seal from your training school or JAAME. The original print you submitted to another exam is gone with that submission, so print a fresh copy for CE and run it through the CE-specific mounting and identity-verification 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.

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Create a Spec-Compliant Clinical Engineer Exam Photo for ¥200

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

Create now — ¥200

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Japan Clinical Engineer (CE) Exam Photo 40×60mm | ¥200 — Ramune