To make a request to the Company pursuant to the JIS Q1005:2006 for notice of the purpose of use, disclosure, correction, supplementation, deletion, suspension of use, deletion, or suspension of provision to third parties (referred to as “Disclosure etc.”) with regard to Personal Information Subject to Disclosure in the Company’s possession, please download the application form designated in A below, fill in the necessary information, enclose the identification documents specified in B below, and mail it to the address indicated at the bottom of this document. Submission of applications is limited to mail, and applications submitted by telephone, facsimile, email, or otherwise cannot be accepted.
A. Designated Application Form
Form IS05-1: Request for Disclosure etc. of Personal Information (PDF)
B. Identification documents
(1) Identification with a photo (a copy of any one of the following)
a. Driver’s license
b. Passport
c. My Number Card
d. Student ID with photo
(2) If you do not have identification with a photo (copies of two or more of the following)
a. Certificate for public health insurance
b. Pension book
c. Maternal and child health handbook
d. Student ID (without photo)
The Company will respond in accordance with JIS Q1005:2006 to requests from the legal guardians of minors and adult wards and agents appointed by the individual. In this case, in addition to the application form specified above, enclose the following.
(1) In the case of a legal guardian (all of the following are required)
a. Required information relating to legal guardians at the bottom of Form IS05-1: Request for Disclosure etc. of Personal Information (PDF).
b. A copy of a certificate of registration verifying the legal guardian (in the case of parental rights, a copy of a health insurance card with the name of the dependent is acceptable)
c. Documents confirming the identity of the legal guardian (the identification documents specified in B above may be used)
(2) In the case of an appointed agent (all of the following are required)
a. Power of attorney written by the individual
b. Documents confirming the identity of the agent (one of the identification documents specified in B above may be used)
Requests for notification of the purpose of use or disclosure of personal information are subject to a fee of 1,000 yen (including consumption taxes) per request. We will contact you after receipt of the application form regarding the method of payment. If you do not make payment using the specified method by the last day of the month after the month in which notice is provided, the request for Disclosure etc. will be considered not to have been submitted.
Responses to requests for Disclosure etc. will be sent in writing to the applicant’s address indicated on the application form by certified mail that may be received only by the addressee.
Personal information that the Company obtains in relation to requests for Disclosure etc. of Personal Information Subject to Disclosure shall be handled only to the extent necessary to process the application.
Please note that the Company is not able to respond to requests for Disclosure etc. in the following cases.
a. Matters relating to applications in general
In any of the following cases:
b. Request for disclosure of purpose of use
In any of the following cases:
c. Requests for disclosure, suspension of use, deletion, or suspension of provision to third parties
The address for mailing application forms is as follows.
Marsh Japan, Inc.
Midtown Tower
9-7-1, Akasaka, Minato-ku, Tokyo 107-6216
*Please note that we are unable to accept applications submitted in person at the Company’s offices.