Online Application Form for Disclosure, Correction,Addition, Deletion, or Suspension of Use, Erasure, and suspension of Third-Party Provision of Retained Personal Data, and Disclosure of the Records on the Third-Party Provision
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 fill in the following fields, and upload an application form with the identification documents, etc.
Mandatory field:
(1)Name
(2)E-mail
(3)Your comments (Please enter “This is a request for disclosure of personal information, not for the qualification or disciplinary records of sales representatives.” in “Your comments” field)
*Please enter the same e-mail address as that provided in the “Application Form for Disclosure, Correction, Addition, Deletion, or Suspension of Use, Erasure, and suspension of Third-Party Provision of Retained Personal Data, and Disclosure of the Records on the Third-Party Provision.”
Optional field:
Organization, Department, and Telephone
*You can submit an application form, etc. even if you do not enter these items.
[Points to Note When Uploading Identity Verification Documents]
Please review the following instructions when uploading files in the “Attached File(s)” section.
- Image Quality
Please ensure that all uploaded images are clear and legible enough for identity verification.
- Acceptable File Formats
Only the following file formats can be uploaded: PDF (.pdf), MS Word (.docx), MS Excel (.xlsx).
- Requests Submitted by an Agent
If an agent submits a request on your behalf, please upload the power of attorney or related documents in the same “Attached File(s)” section.
- If Uploading Is Not Possible
If you are unable to upload the required documents, please send copies of the identity verification documents by post.
[Point of Contact]
General Administration Division, Japan Securities Dealers Association
Address: 2-11-2, Nihombashi, Chuo-ku, Tokyo 103-0027 JAPAN
Operating Hours: 9am to 5pm JST
(closed from December 31 through January 3, weekends and holidays)
”Requests for disclosure of qualification of the sale representatives and disciplinary record”are not accepted through this form.
※ After the payment, please submit your request via “Requests for disclosure of qualification of the sale representatives and disciplinary record”.
