Procedure to Request Disclosure, etc. for BIPROGY

Any person or his/her representative is kindly asked to make a request for a "notification of utilization purpose", "disclosure", "correction, addition or deletion (hereinafter referred to as 'correction etc.')", "discontinuation of utilization, deletion or provision to a third party (hereinafter referred to as 'discontinuation of utilization etc.'" of the "personal information subject for disclosure" retained by the Company, in a written form, pursuant to the procedure below.

BIPROGY Inc.
Chief Privacy Officer
Corporate Officer Takashi Miyashita

1. Procedure for requestors capable of downloading and printing out the below form

Form for Requesting Disclosure or Notification of Purposes for Utilization of Personal Information

  • Word/PDF

Form for Requesting Correction etc. or Discontinuation of Utilization etc. of Personal Information

  • Word/PDF

*Links to the forms will be made available soon.

a. Download and print out the form/s above ("Form for Requesting Disclosure or Notification of Purposes for Utilization of Personal Information"/"Form for Requesting Correction etc. or Discontinuation of Utilization etc. of Personal Information").

b. Fill in the form/s.

c. Attach the documents below.

1)In the case that the person requests a disclosure/notification of utilization purpose of personal information2)In the case that the person requests a correction etc./discontinuation of utilization etc. of personal information
Submit one (1) copy each of two (2) kinds of documentation from the list below. Or, submit one (1) copy of either your driving license or passport.Submit a copy of one of the documentation from the list below.
* Copy of driving license* Copy of passport
* Original of seal registration certificate* Copy of health insurance card
* Copy of residence certificate* Copy of pension book
* Copy of resident card
(Black out the information concerning permanent address in any of the items above.)

d. In a case where his/her representative requests, submit one (1) copy of one of the below documents certifying his/her relationship with the person. (Black out the information concerning permanent address.)
  ・In the case that the requestor is a person with parental authority for the person ⇒ Family register
  ・In the case that the requestor is a guardian of an adult ⇒ Certificate of registered matters for the guardian of the adult
  ・In the case that the requestor is an agent for the person ⇒ Letter of attorney

 In addition, the representative is kindly requested to prepare documents that identify himself/herself. Submit one (1) copy each of two (2) kinds of documentation from the list below. Or, submit one (1) copy of either his/her driving license or passport. (Black out the information concerning his/her permanent address.)
  ・Copy of driving license
  ・Copy of passport
  ・Original of seal registration certificate
  ・Copy of health insurance card
  ・Copy of residence certificate
  ・Copy of pension book
  ・Copy of resident card

e. Delivery of Documents
 Send the request form of a. above, and the identification documents of c. above (d. above in a case where a representative requests) to the address below by recorded delivery. The documents will be returned after confirming their identity.

 BIPROGY Inc.
 Secretariat for the Committee for Promotion of Personal Information Protection
 1-1-1, Toyosu, Koto-ku Tokyo 135-8560 Tel: 03-5546-4111 (switchboard number)

f. Response
 Our response will be sent by registered mail, return receipt requested, after confirming their identity. Please contact the section concerning personal information if you have any questions.

 BIPROGY Inc.
 Secretariat for the Committee for Promotion of Personal Information Protection
 1-1-1, Toyosu, Koto-ku Tokyo 135-8560 Tel: 03-5546-4111 (switchboard number)
 Call or send a mail to the above section, or use the inquiry form below.

2. Procedure for requestors incapable of downloading and printing out the above form

a. Request for the Request Form/s.
 ・E-mail or mail.
 ・Indicate which form from the below is being requested
  "Form for Requesting Disclosure or Notification of Purposes for Utilization of Personal Information"
  "Form for Requesting Correction etc. or Discontinuation of Utilization etc. of Personal Information"

 BIPROGY Inc.
 Secretariat for the Committee for Promotion of Personal Information Protection
 1-1-1, Toyosu, Koto-ku Tokyo 135-8560 Tel: 03-5546-4111 (switchboard number)

 Call or send a mail to the above section, or use the inquiry form below.

b. Receive the form and fill it in.
c. Attach the documents below.

1) In the case that the person requests a disclosure/notification of utilization purpose of personal information2)In the case that the person requests a correction etc./discontinuation of utilization etc. of personal information
ubmit one (1) copy each of two (2) kinds of documentation from the list below. Or, submit one (1) copy of either your driving license or passport.Submit a copy of one of the documentation from the list below.
* Copy of driving license* Copy of passport
* Original of seal registration certificate* Copy of health insurance card
* Copy of residence certificate* Copy of pension book
* Copy of resident card
(Black out the information concerning permanent address in any of the items above.)

d. In a case where his/her representative requests, submit one (1) copy of one of the below documents certifying his/her relationship with the person. (Black out the information concerning permanent address.)
  ・In the case that the requestor is a person with parental authority for the person ⇒ Family register
  ・In the case that the requestor is a guardian of an adult ⇒ Certificate of registered matters for the guardian of the adult
  ・In the case that the requestor is an agent for the person ⇒ Letter of attorney

 In addition, the representative is kindly requested to prepare documents that identify himself/herself. Submit one (1) copy each of two (2) kinds of documentation from the list below. Or, submit one (1) copy of either his/her driving license or passport. (Black out the information concerning his/her permanent address.)
  ・Copy of driving license
  ・Copy of passport
  ・Original of seal registration certificate
  ・Copy of health insurance card
  ・Copy of residence certificate
  ・Copy of pension book
  ・Copy of resident card

e. Delivery of Documents
 Send the request form of a. above, and the identification documents of c. above (d. above in the case that a representative requests) to the address below by recorded delivery. The documents will be returned after confirming their identity

 BIPROGY Inc.
 Secretariat for the Committee for Promotion of Personal Information Protection
 1-1-1, Toyosu, Koto-ku Tokyo 135-8560 Tel: 03-5546-4111 (switchboard number)

f. Response
 Our response will be sent by registered mail, return receipt requested, after confirming their identity. Please contact the section concerning personal information if you have any questions.

 BIPROGY Inc.
 Secretariat for the Committee for Promotion of Personal Information Protection
 1-1-1, Toyosu, Koto-ku Tokyo 135-8560 Tel: 03-5546-4111 (switchboard number)

 Call or send a mail to the above section, or use the inquiry form.