- Please fill in the fields below with the required information.
- A field marked with is mandatory.
- JSDA shall appropriately handle personal information such as your name that you provide in accordance with JSDA’s “Handling of Personal Information” policy.
- Please click on the “Submit” button if you agree to our “Handling of Personal Information” policy.
- Please be noted that your input data may be lost, resulting in an error, if you do not fill out the form within a certain period of time (about 30 minutes).
- Please be sure to include your comments.
- If you want to verify your sales representative qualification status etc., please visit here.