（ 個人のお客様 / For Individual Customers ）To :OVERSEAS REMITTANCE APPLICATION PIN /ID No.:REGISTRATION AND DECLARATION（ 登録番号 ）外国送金登録・取引依頼書兼告知書

New Registration（ 新規登録 ）Additional Beneﬁciary （ 追加登録 ）Amendment （ 登録変更 ）For Existing Remitter Only

Please Specify（ 具体的に ）[ Please ﬁll out using BLOCK CAPITAL LETTER S ] [ 必ずローマ字でご記入ください ]Remitter（ 送金依頼人 ）Name（ 氏名 ）

WWW.METROBANK.CO.JP

Last Name（姓）First Name（名）Gender（ 性別 ）Male（ 男性 ）Middle Name

Address（ ご住所 ）Female（ 女性 ）Birthday（ 生年月日 ）Mobile No.

E-mail（ 携帯番号 ）Facebook Account（ E-メール ）Occupation（ ご職業 / 業種 ）/ Company Name（ 勤務先 ） / Company Address（ 勤務先住所 ）/(For Marketing Promo and Inquires only)/

Please specify job designation. ( ex. Company Employee, Company Director, Self Employed, Housewife, etc. )（ 職業：会社員、会社役員、自営業、主婦等具体的にご記入をお願い致します。）

Source of Funds/ Wealth

Office Tel. No.
（ 勤務先電話番号 ）Nationality（ 国籍 ）（ 送金原資 ）Type of ID（ 本人確認書類の種類 ）Driver’s License

Residence Card

（ 運転免許証 ）（ 在留カード ）OthersExpiry Date

（ その他 ）

（ 有効期限 ）Beneficiary （ 受取人 ）NameTel. No.

（ 氏名 / 会社名 ）Last Name（姓）First Name（名）（ 電話番号 ）Middle Name

Address in the Philippines（ ご住所 ）

Relation with Beneficiary

FamilyFriendOthers（ 受取人とのご関係 ）（ 家族 ）（ 友人 ）（ その他 ）

Purpose of RemittanceFamily Support / Living Expenses

Personal Savings

Others（ 送金目的 ）（ 生活費サポート ）（ 自己宛送金 ）（ その他 ）

Payment Instruction（ 支払方法 ）（ 銀行口座へ入金 ）BankBranch, A/C No.（ PHP / USD / JPY ）Deposit to other banks is limited to PHP and Dollar remittance and may take 2 or more banking days. Please encircle one account currency above.

a.

Account withb.

Cash Pick-Up Anywhere Service（ 現金受渡サービス ）c.

Others（ 送金先口座の通貨をご選択ください。他行向け送金のお取り扱いはPHP口座向けもしくはUSD口座向けのみとなり、入金には２営業日以上かかります。）

Available only for PHP remittance.（ ペソ送金のみのお取り扱いです。）[

GCASH /PAYMAYA ]（ 電子マネー番号入金 ）Account Number

Please choose one. Maximum amount per remittance is PHP50,000.00.（ 送金先をご選択ください。一回につき50,000ペソ以下のお取り扱いとなります。）

Service Selection（ お取引に適用可能なサービスの選択 ）I declare that I have read, understand and agree to the specific Terms and Conditions governing my selected service/s as documented by my signature below.
（ 私は、選択したサービスの利用規定の内容を理解し、同意したことを確認いたします。）

EPRC（ ゆうちょ送金カードサービス ） Available only for PHP remittance. （ ペソ送金のみのお取り扱いです。）
METS（ メトロかんたん送金サービス ） [Please check one:（ 振込先の銀行を選択して下さい。）

MUFG（ 三菱UFJ銀行 ） /SMBC（ 三井住友銀行 ） /Apply for E-Statement（ Eステイトメントの申し込み ）Please ensure to register yourResona（ りそな銀行 ）]email address.（ 必ずにEメールアドレスをご記入下さい。 ）By signing below, I understand and agree to the ”Terms and Conditions for Overseas Remittance” of Metrobank-Japan as stated at the back of this form, giving full consent to provide and register all thenecessary information prescribed in this form pursuant to Article 3 of the Law on Reporting Requirements on Cross Border Payments and Receipts for Tax Law Compliance. I hereby authorize Metrobank
Japan to implement my remittances to the speciﬁc beneﬁciary registered upon actual receipt of funds. I hereby declare that the transaction is in compliance with the “Foreign Exchange and Foreign
Trade Law”, particularly the “Restriction on Payments-ex. Nuclear Development of North Korea and Iran, and the activities relating to the supply of large conventional weapons to Iran”. In case theBeneﬁciary is Corporate, the (Ultimate) Beneﬁcial Owner(s) of the Beneﬁciary of Remittance is/are NOT Resident in North Korea and/or doesnʼt/donʼt have address in North Korea. I hereby declare that I
have no relation to any Anti-Social Forces or engaged in any illegal activities.
私は、本依頼書の裏面に記載されているメトロポリタン銀行の「外国送金規定」の内容に同意し、「内国税の適正な課税の確保を図るための国外送金等に係る調書の提出等に関する法律」第3条の規定に従い、本告知書に規定された必要事項を提供します。私はメトロポリタン銀行が資金受領後、登録された受益者に外国送金を行うことを承諾します。私の外国送金は、北朝鮮、イランの核開発等の支払制限に関わる取引、
イランの大型通常兵器等に関連する活動等の資金使途規制に関連した取引ではありません。
（受取人が法人の場合）受取人の実質的支配者は北朝鮮に居住しておらず、
また、住所も保有していません。私は、反社会的勢力とは関わりがありません。
また、如何なる犯罪とも関わりがありません。

IMPORTANT NOTE: ALL INCOMPLETE DOCUMENTS SHALL BE CAREFULLY SHREDED ANDDISPOSED 30 DAYS AFTER THE DATE A FOLLOW UP HAS BEEN MADE BY METROBANK.

How did you find out about our service?
どのように当行のサービスを知りましたか？
(Choose 1. ひとつだけお選びください。)

Signature / Seal （ 署名もしくは捺印 ）Facebook（フェイスブック）.

印刷後に署名・捺印をお願い致します。
Please sign after printing.
Acceptance
Date

By

Card / AC No.

YouTube（ユーチューブ）
Event / Orientation（イベント / 説明会）

Instagram（インスタグラム）

Web Banner Ads（ウェブバナー広告）
DATE:

重要事項：書類に不備が発見され、お客様宛にご連絡がつかず30日経過した場合、銀行はお申出内容をキャンセルし、書類を破棄（細断処理）させていただきます。

Referral（紹介）For Bank’s Use Only (Rev. February 2023).

印

IssuedBy

Website / Search（ウェブ検索）Date（ 取引時確認記録票 ）Date :

Date :

Encoding Date :Received by

SDN/NNK/NI by

Encoded by

Checked byApproved by

Checked by

Remarks

Approved byTerms and Conditions for Overseas (Foreign) Remittance

外国送金規定※日本語版のご用意もございますので必要な方は、お申し出ください。

Article 1 Scope of Application 適用範囲
Branches (Shiten and Syucchosyo) of Metropolitan Bank & Trust Company in Japan (hereinafter referred to as "Metrobank-Japan") will process overseas remittance transactions subject to Terms and Conditions for Overseas (Foreign) Remittance(hereinafter referred to as the "Terms and Conditions for Overseas Remittance").
Article 2 Definition of Terms 定義
1. Overseas Remittance Transactions - shall mean either of the transactions set forth below:(1) A certain amount of funds credited to a deposit account of the beneficiary maintained with Metrobank Head Office orbranches in the Philippines (hereinafter "Metrobank"), paid to the beneficiary by cash at the counter of Metrobank, or
paid to the beneficiary by cash at Payout Outlets, as designated by the remitter; or credited to the account of thebeneficiary with an E-Money Issuer Non-Bank Financial institution, herein after EMI-NBFI (as defined below) , asdesignated by the remitter; or(2) Payment Instruction (as defined below) to Receiving Bank (as defined below and inclusive of Metrobank) instructing
them to pay a certain amount of funds to the deposit account of the beneficiary maintained with financial institutions in aforeign state including the Philippines, as designated by the remitter.
2. Payment Instruction - an instruction for Receiving Bank (inclusive of Metrobank) to make payment of a certain amount offunds available to the beneficiary.
3. Paying Financial Institution - a bank or financial institution (Payout Outlets and EMI-NBFI inclusive) that credits the remitted
funds to the beneficiary's account or pays the same to the beneficiary.
4. Receiving Bank - either Metrobank in the Philippines, or other financial institution who handle;○ intermediation of Payment Instruction, or○ settlement of the remitted funds among financial institutions
5. E-Money Issuer Non-Bank Financial Institution (EMI-NBFI) – a Non-Bank Financial Institution that credits the remitted funds
to the beneficiary's account or pays the same to the beneficiary.
Article 3 Pre-Registration of Overseas (Foreign) Remittance 外国送金事前登録
1. When requesting overseas remittance transactions, the remitter, whether individual or juridical person, shall:(1) submit to Metrobank-Japan the prescribed form ("Overseas Remittance Application Registration and Declaration",
hereinafter the “Application Form”), declaring the necessary information regarding the remitter and the individual or
juridical person designated as the beneficiary ,(2) submit a valid identification document and other documents prescribed by Metrobank-Japan, and(3) complete the registration procedure for an overseas (foreign) remittance as required by Metrobank-Japan.
Upon completion of prescribed registration procedure, the remitter shall be registered.
2. When any change occurs regarding the contents of the Application Form, the remitter, in order to change the registeredinformation, shall promptly submit to Metrobank-Japan the documents prescribed by Metrobank-Japan and any applicableofficial document evidencing such changes.
3. When there are periodic requirements from the bank to update the registered information, the remitter, after being sent
notifications, shall promptly submit to Metrobank-Japan the documents prescribed by Metrobank-Japan, copy of theprescribed valid ID and/or any applicable official document evidencing any changes to the registered information.
4. Metrobank-Japan shall not accept any request for overseas remittance transactions if the registration or procedures forchange of registered information, as prescribed in the preceding three Paragraphs, has not been completed.
Article 4 Requests for Overseas (Foreign) Remittance 外国送金の依頼
1. Metrobank-Japan shall handle a request for overseas (foreign) remittance in accordance with the following:(1) Request for overseas (foreign) remittance shall be accepted at the counter of Metrobank-Japan only during its banking
hours. The remitter shall properly fill out application for overseas (foreign) remittance and affix the signature or seal
identical to the signature or seal used for Application Form.
(2) Metrobank-Japan shall accept request for overseas (foreign) remittance through telephone only during its banking
hours. The remitter shall be required to provide the PIN, name, beneficiary's name, remittance amount and purpose, etc.
(3) Specified transfer card for EPRC and specified account number for METS shall be properly used. Overseas (foreign)
remittance shall be processed in accordance with terms and conditions separately established for respective services.
2. When its accepting request for overseas (foreign) remittance, Metrobank-Japan shall ensure compliance with Act for
Prevention of Transfer of Criminal Proceeds and Foreign Exchange and Foreign Trade Act and, therefore, the remitter is,
obliged to comply with the following requirements:(1) In addition to information of the remitter and the beneficiary, declare the purpose of remittance and occupation (forindividual), purpose of remittance, nature of business and ultimate beneficial owner (for juridical person) respectively.
(2) Submit identification documents for declaration of the remitter's information. Submit Residence Card as identification
document in case of foreign nationals.
(3) For any transactions requiring permission from the relevant governmental authority, submit copy of the permit to theMetrobank-Japan.
(4) As a principle, overseas (foreign) remittances exceeding 300,000 yen involve specific additional requirements and theremitter shall comply with prescribed procedures of Metrobank-Japan. There may be a case where supporting
documents are requested to be submitted for verifying the source of the remitted funds and the purpose of remittance as
for remittances exceeding 1,000,000 yen.
(5) In addition to the preceding Paragraphs, comply with any other requirements as prescribed by Metrobank-Japan.
3. The remitter shall pay the amount of the remitted funds, charges (including other banks’ fees/EMI-NBFI fees and charges)
and other expenses that may be incurred (hereinafter "funds for remittance"). Metrobank-Japan shall not accept any
securities such as checks as payment method of the funds for remittance.
Article 5 Overseas (Foreign) Remittance Entrustment Contract and its Cancelation 外国送金委託契約の成立と解除等
1. Overseas (Foreign) Remittance Entrustment Contract (hereinafter the "Contract ") shall be deemed to have been in force
when Metrobank-Japan have accepted request for overseas (foreign) remittance and received the funds for remittances.
2. In compliance with the abovementioned Contract, Metrobank-Japan shall provide the remitter with a "Statement of theOverseas Remittance" (the "Statement") after having implemented requested overseas (foreign) remittance.
3. Even after the Contract was in force, Metrobank-Japan is allowed to cancel the Contract should any of the following
conditions occur prior to its implementing requested overseas (foreign) remittance and shall not be responsible for any
losses or damages caused by such cancelation :(1) Overseas (foreign) remittance is in violation of Law and Regulations of Japan or concerned country concerning foreignexchange such as being subject to an emergency suspension of transactions, etc.;(2) War, insurrection or freezing of assets or suspension of payments of Paying Financial Institution (Payout Outlets and
EMI-NBFI inclusive) or Receiving Bank occurs or threatens to occur;(3) Other reasonable grounds such as the possibility of overseas (foreign) remittance being linked with crime or illegal
activities;(4) The remitter fails to inform Metrobank-Japan of the required details of remittance even though the amount to be remitted
exceeds 300,000 yen; or(5) In addition to the cases described above, other reasonable grounds that Metrobank-Japan may consider to warrant
cancelation of the Contract.
4. When any of the following conditions occurs and implementing requested overseas (foreign) remittance is considered to beinappropriate, Metrobank-Japan shall refuse the request for remittance or, upon giving notice to the remitter, cancel theContract. The Contract is deemed to have been canceled when the notice of cancelation was sent to the registered nameand address of the remitter regardless of whether such notice was actually received by the remitter.
(1) When it was known that the remitter is a member or a previous member or has any relation to any of the following:a. Organized crime group (Boryokudan);b. Member of any organized crime group;c. Quasi-member of any organized crime group;d. Company related to any organized crime group;e. Corporate extortionist (Soukaiya), disreputable organization posing as a social movement (Syakai undo hyobougoro) or a group engaging in fraudulent, unfair or deceptive practices (Tokusyu chino boryoku syudan to); or
f. Any other person related to these parties or any equivalent to any of these parties.
(2) When the remitter committed or used any third party to commit any of the following acts:
a. Violent demand;b. Undue demand beyond the legal responsibilities of the person to whom the demand was given;c. Threatening behavior or use of violent force regarding transactions;d. Damaging Metrobank-Japan's credit standing or obstructing its business by spreading false rumors or by use of
fraudulent means or force; or
e. Any other act equivalent to any of the preceding items.
5. In case of Cancelation pursuant to the preceding two Paragraphs, Metrobank-Japan shall return to the remitter the funds for
remittance. The remitter shall acknowledge receipt of funds on Metrobank-Japan’s prescribed documents. There may be acase identification document of the remitter is requested or guarantor if necessary and appropriate.
6. Upon receipt of funds by the remitter and with the proper verification that the signature or seal on the receipt is identical to
the signature or seal used for Application Form; Metrobank-Japan shall not be responsible for any losses or damages
caused thereby.
7. When Metrobank-Japan cancels the Contract pursuant to Paragraph 3 or 4 above, Metrobank-Japan shall not be
responsible for any losses, damages or costs and expenses incurred by the remitter or any other party resulting fromcancelation.
Article 6 Processing of Overseas (Foreign) Remittance 外国送金の処理
1. When the Contract is in force, unless canceled pursuant to Article 5, Paragraph 3 or 4, Metrobank-Japan shall process aremittance without delay in accordance with the request for overseas (foreign) remittance defined in Article 4 (1).
2. The transmission method for sending a Payment Instruction shall be determined at the sole discretion of Metrobank- Japan.
Likewise, Metrobank-Japan shall also determine who shall be Receiving Bank, unless specifically designated by theremitter.
3. In the following circumstances, Metrobank-Japan may select Receiving Bank as it deems appropriate in lieu of those
designated by the remitter, and shall promptly inform the remitter of such selection(s):○ Metrobank-Japan deems it impractical to follow the designation by the remitter; or○ Excessive costs for the remitter or delays in remittance if transmitted through the designated bank of the remitter andMetrobank-Japan deems that there is another appropriate Receiving Bank.
4. Metrobank-Japan shall not be responsible for any losses or damages caused by its selection pursuant to the preceding two
Paragraphs.
Article 7 Undelivered Overseas (Foreign) Remittances 外国送金の不到達
1. When the remitted funds could not be credited to the beneficiary's account due to discrepancy in instructions received byMetrobank-Japan or non-claim of remitted funds from the beneficiary or due to any other reason, Metrobank-Japan shallcredit back the funds for remittance to the remitter’s account with Metrobank-Japan.
2. In case the remitter does not have a deposit account with Metrobank-Japan, Metrobank-Japan refunds the funds for
remittance after having received prescribed document from the remitter.
3. In the events described in the preceding two Paragraphs, Metrobank-Japan shall not be responsible for any losses,
damages or costs and expenses incurred by the remitter.
Article 8 Charges and Expenses 手数料・諸費用
1. At requesting for overseas (foreign) remittance, the remitter shall pay the prescribed charges, including other banks’ fees,
EMI-NBFI’s fees and other expenses that maybe incurred. In addition, any fees and charges as prescribed by Paying
Financial Institution (Payout Outlets and EMI-NBFI inclusive) and/or Receiving Bank shall be borne by the remitter as
deducted from the remitted funds. Additional fees and charges, if any, may be required to be paid by the remitter at a later
date.
2. When Metrobank-Japan receives a request for an inquiry, amendment or cancellation by the remitter, the remitter shall pay
certain charges and expenses, as prescribed by Metrobank-Japan and the Receiving Bank, as set out below:○

inquiry charges;
amendment charges;
charges for cancellation initiated by the remitter,○ communication charges and postage; and○ any other charges and expenses related to the inquiry, amendment or cancellation initiated by the remitter.
○○

Article 9 Exchange Rates 為替相場
1. The foreign exchange rate applied for overseas (foreign) remittance is the one officially quoted by Metrobank-Japan at
implementing requested overseas (foreign) remittance in case the funds for remittance received is in a currency other thanthe currency to be remitted.
2. When refunding to the remitter the funds for remittance as provided for in Article 5, Paragraph 5; Article 11, Paragraph 3;
Article 13, Paragraph 1, Item (3), the foreign exchange rate applied is the actual exchange rate used by Metrobank-Japan
at the time the transaction was processed in case the funds for remittance received by Metrobank-Japan is in a currency
other than the remitted currency. Any fees and charges as prescribed by Paying Financial Institution (Payout Outlets and
EMI-NBFI inclusive), Receiving Bank and/or Metrobank-Japan shall be borne by the remitter.
Article 10 Currency of Payment to the Beneficiary 受取人に対する支払通貨
In case the currency designated by the remitter for overseas (foreign) remittance falls under the following cases, the currency
for payment to the beneficiary may be different from the designated one. The currency for payment, foreign exchange,
charges, and other relevant items shall be subject to laws, regulations, customs and practices of the relevant countries, as wellas certain procedures prescribed by Paying Financial Institution (Payout Outlets and EMI-NBFI inclusive) or ReceivingBank:
1. the currency which differs from the currency of the country where Paying Financial Institution (Payout Outlets and EMI-NBFI
inclusive) is located; or
2. the currency which differs from the currency of the account of the beneficiary.
Article 11 Inquiries concerning Transaction Details 取引内容の照会等
1. When the remitter has any concerns about the remittance transaction such as non-payment to the beneficiary, the remittershall promptly make an inquiry with the processing branch of Metrobank-Japan. Metrobank-Japan shall then conduct aninvestigation promptly and report the results to the remitter. There may be a case an application for inquiry is requested tobe submitted by the remitter.
2. In case of inquiries by Paying Financial Institution (Payout Outlets and EMI-NBFI inclusive) or Receiving Bank with respect
to Payment Instruction, Metrobank-Japan may inquire from the remitter the details of the requested overseas remittancetransactions. If the response is not received within a reasonable period of time or inappropriate response was received,
Metrobank-Japan shall not be responsible for any losses or damages caused thereby.
3. In the event that it becomes apparent that Payment Instruction could not be implemented due to reasons such as a refusal
to execute by Paying Financial Institution (Payout Outlets and EMI-NBFI inclusive) or Receiving Bank, Metrobank-Japan
shall promptly inform the remitter. If Metrobank-Japan receives any refund from Paying Financial Institution (Payout Outlets
and EMI-NBFI inclusive) or Receiving Bank, it shall immediately reimburse such amount to the remitter. The remitter in turnshall take necessary procedures for cancelation set out in Article 13.
Article 12 Amendments to Requests 依頼内容の変更
1. In case of the remitter's requesting for amendments to the original remittance after the Contact is in force , such amendment
shall be processed in accordance with the following procedures:○ When requesting an amendment, the remitter shall submit an application for amendment (the "Application for
Amendment") affixed with the signature or seal identical to the signature or seal used for Application Form, the remitter
may be required to provide a valid identification document or other documents as prescribed by Metrobank-Japan, and○ Upon receipt of request for an amendment, Metrobank-Japan shall carry out necessary procedures without delay, suchas issuing amendment instructions in accordance with the details of the Application for Amendment by selecting thetransmission method which Metrobank-Japan deems appropriate; however, any amendment to the amount ofremittance shall be handled as stated in the cancellation procedures set out in Article 13.
2. In handling the Application for Amendment pursuant to the preceding Paragraph, the provision of Article 5, Paragraph 6 shallapply, mutatis mutandis. Metrobank-Japan shall not be responsible for any losses or damages caused by carrying out thenecessary procedures as set out in Item (2) of the preceding Paragraph.
3. Amendments provided for in this Article may not be completed due to reasons such as refusal by Paying Financial Institution(Payout Outlets and EMI-NBFI inclusive or Receiving Bank, restrictions imposed by Laws and Regulations, and certain
actions taken by governments, courts or other public authorities. In such cases, Metrobank-Japan shall not be liable for any
loss, damage or delay as a result of its inability to complete the said amendment/cancellation; any fees or charges arisingfrom this cancellation shall be borne by the remitter.
Article 13 Cancellation Initiated by the Remitter 組戻し
1. In the event the remitter cancels a request for the original remittance after the Contract is in force , such request forcancellation shall be processed in accordance with the following procedures:(1) The remitter shall submit an application for cancellation (the "Application for Cancellation"), as prescribed byMetrobank-Japan, affixed with the signature or seal identical to the signature or seal used for Application Form. The
remitter, upon request of Metrobank-Japan, shall (a) submit identification document There may be a case a guarantor isrequested by Metrobank-Japan. In case of juridical person, the authorized representative registered may request suchcancellation on behalf of the juridical person. In this case, the authorized representative shall submit Application forCancellation, as prescribed by Metrobank-Japan, affixed with the seal used for Application Form and shall submit
identification document of the authorized representative.
(2) Upon acceptance of the request for cancellation in accordance with the preceding Item, Metrobank-Japan shall carry out
the necessary procedures without delay, such as: issuing cancellation instructions in accordance with the contents of the
Application for Cancellation,(3) When Metrobank-Japan received a refund relating to the canceled remittance from Paying Financial Institution (Payout
Outlets and EMI-NBFI inclusive) or Receiving Bank, in order for Metrobank-Japan to immediately return such amount to
the remitter, the remitter shall submit a receipt or other documents (with the signature or seal identical to the signature orseal used for Application Form ); as prescribed by Metrobank-Japan. Furthermore, upon the request of Metrobank-Japan, the remitter shall submit identification document. There may be case guarantor is requested, if necessary andappropriate.
2. With respect to the handling of the Application for Cancellation submitted for the cancellation of the original remittance, andthe receipt or other documents required when the refund is returned pursuant to the preceding Paragraph, the provision of
Article 5, Paragraph 6 shall apply, mutatis mutandis. Metrobank-Japan shall not be responsible for any losses or damages
caused by carrying out the necessary procedures as set out in Item (2) of the preceding Paragraphs
3. Request for cancellation provided in this Article may not be completed due to reasons such as refusal by Paying Financial
Institution (Payout Outlets and EMI-NBFI inclusive) or Receiving Bank, restrictions imposed by Laws and Regulations,and certain actions taken by governments, courts or other public authorities. In such cases, Metrobank-Japan shall not beliable for any loss, damage or delay as a result of its inability to complete the said cancellation; any fees or charges arisingfrom this cancellation shall be borne by the remitter.
Article 14 Contact for Notices and Inquiries 通知・照会の連絡先
1. In case Metrobank-Japan gives notice or makes an inquiry with regards to the overseas remittance transactions, thetelephone number, email address and /or address stated in the Application Form shall be used.
2. If communication pursuant to the preceding Paragraph cannot be made due to incorrect information of the stated address
or telephone number, an interruption of telephone service or other reasons, Metrobank-Japan shall not be responsible forany losses or damages caused thereby.
Article 15 Indemnity 災害等による免責
Metrobank-Japan shall not be responsible for any losses or damages arising out of any of the following:
1. Unavoidable events such as calamities, incidents, wars, accidents during transit, restrictions by Laws and Regulations, andcertain actions taken by governments, courts or other public authorities;
2. Any failure or malfunction of terminals, communication circuits, computers or other equipment; or any error or omission in
the text resulting from such, which occurred despite reasonable security measures taken by Metrobank-Japan;
3. (a) The customs and practices of the country in which Paying Financial Institution (Payout Outlets and EMI-NBFI inclusive)or Receiving Bank is located, (b) Certain procedures prescribed by Paying Financial Institution (Payout Outlets and
EMI-NBFI inclusive) or Receiving Bank; or (c) Any other reason attributable to Paying Financial Institution (Payout Outlets
and EMI-NBFI inclusive) or Receiving Bank other than Metrobank;
4. Any reason attributable to the remitter, such as an incorrect beneficiary information;
5. Messages from the remitter to the beneficiary;
6. The relationship between the remitter and the beneficiary or a third party, on which the remittance is based; and7. Any other reason not attributable to Metrobank-Japan.
Article 16 Prohibition of Transfer or Pledge 譲渡・質入れ等の禁止
The remitter shall obtain written approval from Metrobank-Japan prior to transfer or pledge or allow a third party to use or
exercise the remitter's rights in any manner, under any agreement with Metrobank-Japan.
Article 17 Handling of Customer Information 顧客情報の取扱い
Metrobank-Japan may provide personal information collected from the remitter or information concerning transactions(hereinafter "Customer Information") to the Head Office or branches of Metrobank, or business entrustees provided and limited
to operations for preservation of such information or in the performance of its business relating to overseas remittance.transaction. It may disclose Customer Information if required by Laws and Regulations, judicial proceedings and other legal
proceedings, or requested by government agencies. In addition to this Article, the handling of Customer Information shall be
subject to the rules separately prescribed by Metrobank-Japan (Privacy Policy and Handling of Personal Information).
Article 18 Governing Law and Jurisdiction 準拠法および管轄裁判所
1. Terms and Conditions for Overseas (Foreign) Remittance, other related agreements there under shall be governed by andconstrued in accordance with the laws of Japan.
2. Tokyo District Court shall have exclusive jurisdiction over any and all lawsuits brought in connection with the matters arisingunder or related to Terms and Conditions for Overseas (Foreign).
Article 19 Compliance with Laws and Regulations and Procedures 法令・規則・手続等の遵守
In case any Laws and Regulations are not in conformity with these Terms and Conditions for Overseas Remittance, the former
will prevail. In addition, matters not stipulated in the Terms and Conditions for Overseas Remittance shall be governed by thelaws and regulations, customs, and practices in Japan.
Article 20 Amendment to Terms and Conditions for Overseas (Foreign) Remittance 外国送金規定の変更
In the event of changes in financial conditions or other circumstances, or any other reasonable grounds, Metrobank-Japan
may amend any provision of Terms and Conditions for Overseas (Foreign) Remittance upon giving one month prior notice tothe customer by appropriate method of notification, such as, but not limited, to posting of a written notification at its branches
or posting on Metrobank-Japan homepage.
Article 21 Requests to Metrobank-Japan 当行への要請等
When making a notice or request to Metrobank-Japan concerning overseas remittance, the remitter shall completely andaccurately accomplish the form or document as prescribed by Metrobank-Japan and submit such form or document with theregistered signature or seal of an authorized person with Metrobank-Japan. If Metrobank-Japan found out that the content of
the notice or request received from the remitter is unclear, incomplete or inappropriate, Metrobank-Japan is authorized to
decline such notice or request.
Article 22 Official Text 正文
If any discrepancy occurs between the Japanese and the English versions of Terms and Conditions for Overseas (Foreign)
Remittance, the Japanese version shall prevail.
Rev. May 2022

ID SUBMISSION FORM
本人確認資料添付用紙(FOR NEW REGISTRATION ONLY / 新規登録用)*ローマ字でご記入下さい。
NAME

LAST NAME(姓)DATE(日付）:
FIRST NAME(名)MIDDLE NAME年
TEL NO.

お名前

電話番号

ADDRESS

EMAIL

ご住所

メール

月

日

*Please attach copy of your ¹Primary ID and ²Suplemental ID/Documents indicating your present address in Japan. (NOTE)

現在の住居記載のある本人確認書類¹ ・ 補完書類² ³ を添付して下さい。(注)NOTE : For details of requirement, please refer to the back side of this form.
注： 必要な書類等の詳細につきましては、本紙裏面をご参照下さい。
（注1）Primary ID（注1）Primary ID

FRONT

BACK

表

裏

（注2）Supplemental ID/Document

FRONT

BACK

表

裏

（注3）Supplemental ID/Document

BANK USE ONLY
銀行使用欄

（注2）Supplemental ID/Document（注3）Supplemental ID/Document

FRONT

BACK

表

裏

Date:
Encoded By:

Checked By;

Verified By:

e.d.10012020

Revision of required ID for New Registration of New Individual Client through Non face-to-face contact(other than receiving at the counter of Metrobank Japan)[重要なお知らせ]Partial revision of Ordinance for Enforcement of Japan AML Act (Act on Prevention of Transfer of Criminal Proceeds) was issued on 30 November, 2018, and Revision of
Required ID for New Registration of New Individual Client through Non face-to-face contact shall be in forced on 1 April, 2020.
Regulatory Requirement ((1.) and (2.) below)(1.) (Revised requirement) One of the following IDs/Supplemental Documents from Individual (Natural Person) are
required to be submitted.
(i.) (For only Japanese Nationals) 1 (one) original ID (multiple issue, example, original of certificated copy of
Residence Certificate, Certificate of Seal Registry) or;(ii.) 2 (two) type of IDs (with/without photo) indicating current address, or(iii.) 1 (one) ID (with/without photo) indicating current address (see note 1) + supplemental document (payment
receipt of utility bills, etc.) indicating current address (see note 2).
(note 1) If there is no current address on ID, 2 supplemental documents indicating current address are required.
(note 2) Supplemental document of family member whose last (sir) name and current indicated address aresame as the individual (Natural Person) is acceptable. However, n case of above (note 1), only 1 (one)supplemental document of the family member is acceptable.
(a.) Japanese Nationals: (ID)- Driver’s License (DL)- Individual Number Card (so-called “My number card”)- Health Insurance Card (Note: Please mask/cover Insurance Indentification Number itself)- Disabled Person Card
- Residence Certificate (issued within 3 months from the date of application)- Japanese Passport (with current residential address stated on the last page)(Supplemental document indicating current address)- Please see(b) (Supplemental document indicating current address) below.
(b.) Foreign Nationals: (ID)- Resident Card (ZAIRYU Card) is the mandatory required ID.(Above (1) (i.) is not applicable.)
In addition to one of above documents, following ID/Supplemental document is also required depend on case ofabove (ii.) or (iii.) of (1).
(ii.) Resident Card + (ID) Health Insurance Card, Residence Certificate, etc. described above (a.)(iii.) Resident Card + (Supplemental document indicating current address)- Payment receipt of National tax or Local tax, or Tax certificate- Payment receipt of Social insurance premiums- Payment receipt of utility bills (Electricity, Gas, Water)(note)(note) Payment receipt of phone is not acceptable. Invoice and Notice of account transfer are not acceptable.
(2.) (Same as current) Financial Institutions is required to send Forward-prohibited registered mail to the address indicated on the submitted ID/Supplemental Documents.
非対面（店頭受付以外）での個人のお客様の新規ご登録（新規お取引開始）時に必要な本人確認書類が一部変更になります2018年11月30日に犯罪収益移転防止法施行規則が一部改正され、2020年4月1日以降、非対面での個人のお客様の新規ご登録時に必要な本人確認書類が、以下の通り変更になります。
＜必要な本人確認書類及び手続き(以下の(1.)及び(2.))＞(1.) (変更分) 以下のいずれかの本人確認資料/補完書類の提出が必要になります。
(i.) 日本人のみ） 本人確認書類の原本 1種類(e.x. 住民票の写し(コピーではない)、印鑑登録証明書)の送付、(ii.) 本人確認書類（現在の住居記載のあるもの）の写し2種類の送付、あるいは(iii.) 本人確認書類の写し（現在の住居記載のあるもの）1種類 (注1)+補完書類(公共料金の領収証書等)（現在の住居記載のあるもの）1種類 (注2)の原本又は写しの送付(注1) 本人確認書類に現在の住居記載がない場合、補完書類は2種類必要(注2) 補完書類は同居者(姓および現在の住居が本人と同じ場合に限る)のものも可
但し、本人確認書類に現在の住居記載がない場合、必要な補完書類2種類のうち1種類は同居者のものは不可＜特記事項＞(a.) 日本人の場合：(本人確認書類)
運転免許証
マイナンバーカード
健康保険証 ((注) 被保険者記号、番号部分はマスキングを施していただきますよう、お願い致します。)
障害者カード
住民票の写し (過去3ヶ月以内に発行のもの)
パスポート(現在の住居記載のあるもの)(補完書類(現在の住居記載があるもの)
国税または地方税の領収証書または納税証明書
社会保険料の領収証書
公共料金(電気、ガス、及び水道)の領収証書(注)(注) 電話領収証書は不可
公共料金の請求書及び口座振替のお知らせは不可(b.) 外国人の場合：在留カードは必須の本人確認書類となります｡ （上記(1.)の(i.)は適用外）
在留カードに加え、上記(1.)の(ii.)､(iii.)のいずれかの場合に応じて、以下の本人確認書類/補完書類も必要となります。
(ii.) 在留カード + (本人確認書類) 健康保険証､ 住民票の写し等､ 上記(a)に記載のもの(iii.) 在留カード + (補完書類(現在の住居記載があるもの))
上記(a.)の(補完書類(現在の住居記載があるもの))欄ご参照(2.) (現行と同じ) 金融機関(当行)は、お客様よりご送付頂きました本人確認書類/補完書類に記載の住居宛てに転送不要郵便物を送付することを求められております。
ご理解、ご協力くださいますよう、何卒宜しくお願い申し上げます。

切り取り線

切り取り線

CUT HERE

101-8795
神 田 局

大 阪 東 局

CUT HERE行
CUT HERE

切り取り線

CUT HERE

切り取り線

大阪府大阪市中央区安土町二 三
- 十
-三

切り取り線

大阪国際ビルディング三階

メ
ト
ロ
ポ
リ
タ
ン
銀
行
大
阪
出
張
所

行
切り取り線

522

3092
差出有効期間2025年4月30日まで（切手不要）

切り取り線

東京都千代田区神田錦町一 十
-九 一
-

切り取り線

東
京
支
店

神田橋パークビルヂング一階

メ
ト
ロ
ポ
リ
タ
ン
銀
行

CUT HERE

CUT HERE

CUT HERE

差出有効期間2025年4月30日まで（切手不要）

541-8790

316

2024

CUT HERE