Letter of Consent Regarding Acquisition
and Handling of Employees’ Personal Information[company’s name]
CEOMr.

I agree to the following matters regarding the handling of your employee's personalinformation (hereinafter referred to as "personal information").
Article 1 (Purpose of obtaining and using personal information)
Your company acquires the following personal information for the purpose of use
described in each section and uses it within the scope of the purpose.
(1)

Basic Information：Name, date of birth, gender, address, telephone number, email
address, nationality, face photo
Purpose of Use：Business contact, decision of salary etc. (including remuneration,salary, bonus, various allowances, paid transportation expenses, etc.;
the same applies hereinafter), personnel evaluation, pension relatedprocedures, social insurance related procedures, taxes and public dues
procedures, providing company benefits, legally required procedures,and other employment management(2)

Information related salary ： Amount of salary, salary payment form, family
structure, dependents, commuting route, deposit account for wagetransfer
Purpose of Use：Decision and payment of salary, taxes and public dues procedures(3)

Personnel Information ： Goal management sheets, personal history, resume,qualifications, licenses
Purpose of Use：Personnel evaluation, decision of a placement, job training andeducation(4)

Health Information ： Result of medical check-up, result of body measuring,
medical certificate, clinical history, disability
Purpose of Use：Health management of employees, decision of a placement,
judgement of propriety of working such as taking leave andreinstatement, fulfillment of obligations of considering safety andensuring a healthy working conditions(5)

Family Information ： Family structure(including living together/separated),dependents

PurposeofUse ： Providing

company

benefits,

judgement

ofgranting

child-care/family-care leave, taxes and public dues procedures
Article 2 (Provide to a third party)Your company provides personal information to a third party in the following cases.
(1)

When providing to your own bank for wage transfer(2)

When providing to the relevant government agencies for pension related
procedures, social insurance related procedures, taxes and public dues procedures,and other procedures required by law(3)When providing to the place of loan regarding the information of employee whowill be sent on loan(4)to that company

When providing information to a third party in a foreign country in accordancewith investigations, inquiries, litigation procedures and similar procedures basedon the laws and regulations of foreign countries

Article 3 (Provision to consignment, business succession or affiliated companies)
1．Your company may entrust all or part of personal information to an outside business
operator who is deemed to have taken necessary and appropriate safety management
measures within the scope of the purpose of use described in Article 1.
2．Your company may provide all or part of personal information to the succeedingcompany as the business is succeeded by merger, spin-off, business transfer, etc.
3．Your company may provide all or part of personal information to your affiliatedcompanies (including those located in foreign countries) within the scope of thepurpose of use described in Article 1.
Article 4 (Voluntariness of provision of personal information)
It is voluntary for me to provide my personal information to your company, but if you
do not provide the personal information correctly, you may suffer disadvantages in
employment management and business.
【Consultation about personal information】[company’s name] [division name][address of the company]
TEL：○○○－○○○－○○○○
E-mail：xxxx@xxxx.xx.xx

Date:
Address：
Name：