(1) | Demand for Disclosure etc. request form Request form prescribed by the Company (Please complete all items inside the bold frame.) |
(2) | Identification documents (i) If the Principal makes a request Please submit one of the following with your name and current address stated as identification documents. a. A copy of your driver’s license (If your name or address has changed, submit a copy of the reverse side) b. A copy of your passport (copies of the pages where your name and address are written and the photograph is attached) c. A copy of your residence card (If your name or address has changed, submit a copy of the reverse side) d. A copy of your special permanent resident certificate (If your name or address has changed, submit a copy of the reverse side) e. A copy of your health insurance certificate and an original of your resident record (issued within the last three months; information about your registered domicile is not necessary) or an original of your registered seal certificate. (ii) If an agent for the Principal (the “Agent”) makes a request a. Any one of (i) a to (i) e for Principal (identification documents for Principal) b. Any one of (i) a to (i) e for the Agent (identification documents for the Agent) c. Documentary evidence of the Agent relationship - If the Agent is a statutory representative: A certified copy of the family register or a copy of resident record where both Principal and the Agent are stated and their relationship is shown (issued within the last three months; information about the registered domicile is not necessary). - If the Agent is a privately appointed agent: A power of attorney (the signature of the Principal and his or her registered seal) and the registered seal certificate of the registered seal that is affixed to the power of attorney. |
(3) | If notification of the purpose of utilizing Personal Information and disclosure of Personal Information is requested, a fee of 800 yen (including tax) needs to be paid. Please enclose a postal fixed-amount money order with the necessary documents. |
(1) | If the submitted documents have any deficiencies, such as missing items and blurred identification documents, we will return the submitted documents to the address stated on the request form. |
(2) | We may be unable to respond to a request in certain cases, such as if the response would violate laws or regulations. |
(3) | Our response to a Demand for Disclosure etc. of Personal Information will be sent in writing to the address of the requester (if the requester is an agent, the address of the agent) stated in the Demand for Disclosure etc. request form. |
(4) | The Demand for Disclosure etc. request form and other documents submitted for a Demand for Disclosure etc. of Personal Information will not be returned. We will store submitted request forms and other documents at the Company for the necessary periods and will then dispose of them. The same will apply when deletion of Personal Information is requested and the Company deletes the Personal Information. |