（個人用：英語）【Secondhand Dealer ・ Secondhand Market】

Written Oath(for individual)

I declare that I am not applicable to any of the following listed on the Secondhand Articles
Business Act Article 4.

1

A person who has received an order commencing the bankruptcy proceedings and has not
obtained the restoration of rights.

2

A person who has been sentenced to imprisonment without work or more severe
punishment, or who has been sentenced to a fine for the crime prescribed in Article 31(unauthorized secondhand articles business, etc.), or the crime prescribed in Article 235(Theft), Article 247 (Breach of Trust), Article 254 (Embezzlement of Lost Property), orArticle 256 paragraph 2 (transporting, retaining, receiving with compensation, or arranging
disposal for compensation of stolen property)of the Penal Code (Act No.45 of 1907), and forwhom five years have not passed since the day that the execution of the sentence wascompleted or that the person ceased to be subject to its enforcemnt.

3A person for whom there are sufficient reasonable grounds to believe that the person is
likely to engage concertedly or habitually in violent tort or other illegal activities constituting
crimes as provided for by Rules of the National Public Safety Commission.

4A person who has received an order under the provisions of Article 12 or Article 12-6 of
the Act on Prevention of Unjust Acts by Organized Crime Group Members (Act No.77 of1991) or an instruction under the provisions of Article 12-4, paragraph 2 of the same Act, forwhich three years have not passed from the date of receipt of the order or instruction.

5A person who has no fixed place of residence.

6A person whose permission for a secondhand articles business has been rescinded pursuant
to the provisions of Article 24, paragraph 1, and for whom five years have not passed fromthe date of the rescission (for a juridical person, this includes a person who held office at thejuridical person as an executive officer witin 60 days prior to the day on which public noticeof the date and place of the hearing pertaining to the rescission was publicly given, and forwhom five years have not passed from the date of the rescission.)

7

A person who has returned the permission certificate under the provisions of Article 8paragraph 1 item (i) during the period starting from the day on which public notice of thedate and place of the hearing pertaining to the rescission of the permission under theprovisions of Article 24 was given to the day on which the rescission is exercised or the dayon which a decision not to exercise the rescission is made (excluding those for whom there
are reasonable grounds for discontinuing the secondhand articles business) and for whom five
years have not passed from the date of the return.

8A person specified by the Rules of the National Public Safety Commission as a person whois unable to properly conduct the business of a secondhand articles dealer or a secondhand
articles market owner due to a mental or physical disorder.

9A minor who does not have the same capacity as a person who has reached the age ofmajority with regards to the business; provided, however, that this does not apply to cases inwhich the person is an heir of a secondhand articles dealer or a secondhand articles market
owner, whose statutory agent does not fall under any of the a/m No.1 to 8.

To Osaka Prefectural Public Safety Commission
Date:
Address:
Name:

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