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

A spec-compliant Occupational Therapist (作業療法士) national exam photo (60mm × 40mm) from a smartphone shot for ¥200, per the Ministry of Health, Labour and Welfare.

Official spec data
Dimensions60mm × 40mm
Face lengthNot specified
Top marginNot specified
BackgroundNo official background color requirement; convention is plain white background
Shoot-by windowTaken within 6 months of application
Official issuerMinistry of Health, Labour and Welfare (MHLW)

View the official source ↗(Last verified: 2026-05-26)

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で、その裏面に撮影年月日及び氏名を記載し、厚生労働省又は作業療法士国家試験運営本部事務所若しくは作業療法士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、同台紙に所定の事項を記入して提出すること。」

Why this spec matters

An Occupational Therapist (OT) in Japan is a national license holder who supports people with physical, mental, or developmental disabilities in recovering daily-living function through "occupations" — activities such as eating, dressing, bathing, fine-motor handicrafts, and vocational training for return to work. Unlike Physical Therapists (PT), whose remit by law is the recovery of basic motor functions (standing, walking), OTs cover both physical and mental/developmental domains. The OT and PT national exams are held on the same day each January at the same venues, and share an identical photo spec of 60mm tall × 40mm wide. This is the unified spec across Japan medical national exams — nurse, midwife, public health nurse, pharmacist, dentist, radiological technologist — and is one size larger than My Number or driver's license photos (35×45mm), so the "ID / driver's license" size at a convenience-store photo booth will be rejected. The OT exam also has a unique procedure: write the date taken and full name on the back of the printed photo, then glue it to the official "exam photo mounting sheet" issued by MHLW or the exam administration office.

How to create it for ¥200

A spec-compliant Occupational Therapist 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 "Occupational Therapist Exam" preset. AI removes the background, detects your face, and auto-crops to the 40×60mm size.
  3. 3

    Print via QR code, write on back, glue to mounting sheet

    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, then glue the photo to the official MHLW-issued mounting sheet.

Create a Spec-Compliant Occupational Therapist Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 40×60mm MHLW 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 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

Can I reuse the photo from my Physical Therapist exam?
The size spec (40×60mm) is identical, so yes — as long as it was taken within the last 6 months. The PT and OT exams are held on the same day each January, so if you sit both (or sat one previously), printing multiple copies from a single shoot is the most efficient option. Note that each exam requires its own application form and its own mounting sheet, but the underlying photo file can be the same.
How is identity verified while I am still a student?
Identity verification for the application is handled by MHLW and the exam administration office, not the training school. However, your training school issues the certificates proving expected graduation and completion of clinical practicum, so coordinate the document submission schedule with the school office well before the application window (typically November–December).
Are there other rehabilitation licenses?
Yes — the three core rehabilitation national licenses in Japan are Physical Therapist (PT, basic motor functions), Occupational Therapist (OT, daily-living and applied function including mental/developmental), and Speech-Language-Hearing Therapist (ST, speech / hearing / swallowing). All three are MHLW-administered, and all share the 60mm × 40mm photo spec. OT is unique in covering both physical and mental/developmental rehabilitation.
How do I get the official photo mounting sheet?
The mounting sheet is issued by MHLW or the OT Exam administration office (main or temporary). It is typically distributed via your training school during the application period, or you can follow the instructions on the MHLW exam guide page. At submission, you must glue the photo to this sheet and fill in the required fields.
Is the spec the same as the Speech-Language-Hearing Therapist exam?
Yes — the ST exam also uses the 60mm × 40mm spec. Virtually all MHLW-administered medical national exams (OT, PT, ST, Nurse, Midwife, Public Health Nurse, Doctor, Pharmacist, Dentist, Radiological Technologist, and others) share this unified 40×60mm format.

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Create a Spec-Compliant Occupational Therapist Exam Photo for ¥200

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

Create now — ¥200
Japan Occupational Therapist Exam Photo 40×60mm | ¥200 — Ramune AI ID Photo