Notification to be Designated a Corporate Number and the Consent Form to the Publication of the Corporate Number or the like

法人番号の指定を受けるための届出書兼法人番号等の公表同意書
Corporation other than registeredcorporations for incorporation(Excluding national government organsand local public entities)◎*Make sure to fill in inside the bold frames.

受 付 印※ 太枠は必ず記載してください。
Corporation category
法こ人□ 設立登記法人以外の法人 □ 人格のない社団等
番 の Date of submission
法人区分（国の機関、地方公共団体は除く）
届号※「 公表同意」欄をご確認ください。
出の年
月日 （ フ リ ガ ナ ）指書Association or the like without juridical personality
Trade name or name兼定*See the "Consent to the publication" section.
MonthDayを 同 Year
商 号 又 は 名 称意
受け書（フリガナ）
Postal codeて は Address of the head office or principal place of business、（〒－）い「な設本 店 又 は 主 た るIn Japan
い 立 Commissioner of the 事 務 所 の 所 在 地 □ 国内
法 登 National Tax Agency
Outside JapanTel□ 国外人記※ 「国外」にレ印を付した場
合は日本国外にある本店又は等法
国税庁長官殿（電話番号－－）
主たる事務所の所在地を記載の人
代 以*If the box "Outside Japan" （ フ リ ガ ナ ）Postal code
表 外is checked, describe the（〒－）者 のaddress of the head office or
又 法principal place of business 国 内 に お け る 事 務 所
Address of the office or business office in Japanは 人outside Japan.
又は営業所の所在地
管（*Describe if "Outside Japan" is checked in the above.
Tel理国※ 上欄で「国外」にレ印を付人のした場合に記載（電話番号－－）の機
Nameofrepresentative（フリガナ）
方関が 、 or administrator*The name of the representative or administrator in Japan if
使地
there is no head office or principal place of business in Japan
代表者又は管理人氏名
用方す公※ 国内に本店又は主たる事務
We notify as below in order to be designated a Corporate Number, in accordance所を有しない場合は、国内にる共with the provisions of the Act on the Use of Numbers to Identify a Specificおける代表者又は管理人氏名
も団
Individual in the Administrative Procedure.の体
行政手続における特定の個人を識別するための番号の利用等に関する法律の規定に基づき、法人番号
ではす除の指定を受けるために、次のとおり届け出ます。
。く（□ Corporation or the like which submits a declaration form or the like to the district提）」 Qualification category□ 国税に関する法律の規定に基づき、税務署長その他行政機関の長若しくはその職員にdirector of a tax office, the heads of other administrative organs or their staff, or出又corporation or the like which is asked to provide the Corporate Number required for
申告書等を提出する者又はその者から当該申告書等に記載するため必要があるとしてのはdescribing the said declaration or the like by the corporation or the like which
該 当 区 分法人番号の提供を求められる者
際「submits it, in accordance with the law concerning national tax
は 人 Date of incorporation□ Corporation which possesses the head office or principal place of business in Japan□ 国内に本店又は主たる事務所を有する法人、 格 (establishment)
裏の年 Month
月日
YearDay設立（開設）年月日
面なのい□A copy of the articles of incorporation, the articles of endowment, the rules
記 社 Attached document□ 定款、寄附行為、規則若しくは規約又はこれらに準ずるものの写し
or regulations, or the equivalents (attach the Japanese translation if written
載団（日本語以外の言語で記載している場合は和訳文を添付）
in other languages than Japanese)
添 付 書 類要等
□If a license or authorization or the like issued by a national organ or local領」□ 設立に当たり法令の規定により国の機関又は地方公共団体の機関の許認可等を必要とする
public entity is required for the establishment, a copy of the document that
等で法人は、当該許認可等を証する書類の写し
proves the said license or authorization or the likeを、
ご 国 ※人格のない社団等で、①商号又は名称、②本店又は主たる事務所の所在地及び③法人番号の公表に同意する場合にご記載ください。
確 税 （※公表に同意した場合は、法人番号の指定後、速やかに①～③が公表されます。）*Describe if you are an association or the like without juridical personality and認庁
行政手続における特定の個人を識別するための番号の利用等に関する法律の規定に基づき、Consent to the publicationconsent to the publication of the i) trade name or name, ii) address of the head office or
く長
the principal place of business and iii) Corporate Number. (*If you consent to the①商号又は名称、②本店又は主たる事務所の所在地及び③法人番号を公表することにだ官
公 表 同 意publication, the information from i) to iii) will be published immediately after theさか□ 同意します。
designation of the Corporate Number.)いら□ Yes, I consent to the publication of the i) trade name or name, ii) address of the head office or principal place of business and iii)。
）
Corporate Number, in accordance with the provisions of the Act on the Use of Numbers to Identify a Specific Individual in the整法 人 番 号
回 付 日
審査理
This欄notification
combined with the consent form確is usedby the representative備or administrator
of a "corporation other than
入力処理日
認考

Administrative Procedure.

registered corporations for incorporation (excluding national government organs and local public entities)" or "association or the
注意 整理欄は記載しないでください。
like without juridical personality," which is designated no Corporate Number by the Commissioner of the National Tax Agency.
(See back page for the guidelines for describing when submitting it.)

Guidelines for Describing the Notification to be Designated a Corporate Number
and the Consent Form to the Publication of the Corporate Number or the like
1. About the “Notification to be Designated a Corporate Number and the Consent Form to the Publication of the Corporate Number or the like”
This notification combined with the consent form is used in order to be designated a Corporate Number by a “corporation other than registeredcorporations for incorporation (excluding national government organs and local public entities) (hereinafter referred to as a “corporation other thanregistered corporations for incorporation”)” or an “association or the like without juridical personality,” which is designated no Corporate Number, inaccordance with the provisions of the Act on the Use of Numbers to Identify a Specific Individual in the Administrative Procedure. Please submit it to theCommissioner of the National Tax Agency, together with the document specified in “Attached document.”
2. How to fill in(1) In “Corporation category,” check the relevant box regarding the corporation submitting this notification with the consent form. Refer to the following
explanation for each corporation category:a. Corporation other than registered corporations for incorporation“Corporation other than registered corporations for incorporation” means a corporation that is established in accordance with the provisions of thelaws of Japan (Paragraph 1 of Article 33 of the Civil Code) but not registered for incorporation, or a foreign corporation whose establishment wascertified by Japan (Article 35 of the Civil Code).
The examples of a foreign corporation whose establishment was certified in accordance with the provisions of the laws of Japan are a district
administered by foreign country, foreign company and foreign corporation certified by laws or treaty provisions.
b. Association or the like without juridical personality“Association or the like without juridical personality” means an “association or foundation which is not a corporation but determines its
representative or administrator.”
This “determines its representative or administrator” implies the case where the representative or administrator is determined by the articles ofincorporation, the articles of endowment, the rules or the like of the said association or foundation, and also the case where a contract is concluded
regarding the operations of the said association or foundation and a person does in fact exist to supervise the management of money and goods.
More specifically, organizations falling under this category fulfill the following requirements: 1) the association forms an organization; 2) theprincipal of majority rule is applied; 3) the association itself continues to exist even if its members change; and 4) the organization has decided on themethods for representative, the operations of general meetings, the management of property and other major factors as an association.
(2) In “Trade name or name,” describe the trade name or name of the corporation or the like submitting this notification with the consent form.
(3) In “Address of the head office or principal place of business,” check the box of either “In Japan” or “Outside Japan” regarding the address of the head
office or principal place of business of the corporation or the like submitting this notification with the consent form, and describe the said address andtelephone number.
(4) In “Address of the office or business office in Japan,” describe the address and telephone number of the office or business office in Japan if there is nohead office or principal place of business in Japan (i.e. the box “Outside Japan” is checked in (3) above).
If there is more than one office or business office in Japan, describe the address and telephone number of the principal one.
(5) In “Name of representative or administrator,” the representative or administrator of the corporation or the like describes his/her name.
If there is no head office or principal place of business in Japan (i.e. the box “Outside Japan” is checked in (3) above), the representative or
administrator of the office or business office mentioned in (4) above describes his/her name.
(6) In “Qualification category,” which indicates whether you are qualified to submit this notification with the consent form, check the relevant box.
a. The example of “corporation or the like which submits a declaration form or the like to the district director of a tax office, the heads of otheradministrative organs or their staff, or corporation or the like which is asked to provide the Corporate Number required for describing the saiddeclaration or the like by the corporation or the like which submits it, in accordance with the law concerning national tax,” is a case where anassociation or the like without juridical personality (without the duty to file and pay corporate and consumption taxes or to withhold income tax onsalary and the like), which is designated no Corporate Number, pays for manuscripts and designs when issuing publications, which results in becoming
obligated to submit the reports of reward payments.
b. A “Corporation which possesses the head office or principal place of business in Japan” includes a public interest corporation or the like such as apublic corporation (e.g. land improvement zone without the duty to file and pay corporate and consumption taxes or to withhold income tax on salaryand the like) and a health insurance union.
(7) In “Date of incorporation (establishment),” describe the date the head office or principal place of business was incorporated (or established).
If the box “Outside Japan” is checked in (3) above, describe the date the office or business office mentioned in (4) above was established.
(8) In “Attached document,” check the box of the document attached to this notification with the consent form.
(9) In “Consent to the publication,” check the box if the representative or administrator of the association or the like without juridical personality consents
to the publication of the i) trade name or name, ii) address of the head office or principal place of business and iii) Corporate Number (hereinafterreferred to as “the Basic 3 Information”).
3. Matters to be noted
The Basic 3 Information will be published through the Internet (“The National Tax Agency’s Corporate Number Publication Site” (Japanese version))
immediately after the designation of the Corporate Number; provided that with regard to the association or the like without juridical personality, its
representative or administrator consents to the publication.
In addition, the trade name or name to be published will include furigana (Japanese pronunciation).
Furthermore, if the trade name or address is changed after the consent to the publication is granted, the published information will be revised and therevision history will also be published.
Read the followings carefully regarding the consent to the publication of the Basic 3 Information and the revocation of the consent:- The National Tax Agency's Corporate Number Publication Site (Japanese version) offers a function to download each corporation’s information, as well
as a function to search and browse it. The Basic 3 Information provided through these two functions is renewed in different timings. (i.e. the search andbrowse function is renewed from time to time, while the download function is renewed periodically). Consequently, if the “Notification to Revoke theConsent to the Publication” is submitted and the Basic 3 Information can no longer be browsed, the Basic 3 Information will temporarily remain in thedata for downloading until the next renewal.
It is virtually impossible to completely block the distribution of the published information once it is published, even if the “Notification to Revoke theConsent to the Publication” is submitted and the publication is stopped. This is because the Basic 3 Information is widely used by the general public after
being published on the National Tax Agency's Corporate Number Publication Site (Japanese version).
- In accordance with the provisions of the Act on the Use of Numbers to Identify a Specific Individual in the Administrative Procedure, the heads ofadministrative organs or the like can request the Commissioner of the National Tax Agency to provide the Basic 3 Information. Therefore, there are somecases where the Basic 3 Information is provided to the heads of administrative organs without consent from corporations.
Note that each administrative organ carefully handles the provided information on which a confidentiality obligation is imposed.

* Submit this document to the Office of Corporate Number Management, the Planning Division, the Commissioner’s
Secretariat of the National Tax Agency.