Please note the following points.
* Please fill in the information as of the date of the employment in KU.
* If you found an error after filling in, please make a new one, or correct it with crossing out and put a stamp on thecorrected part to identify the corrector.
* Please make sure that there are no omissions before submitting.
* Please be sure to submit two pages of the declaration letter (double-sided printing if it is possible).

Declaration Letter
Regarding the applicability of the Specific Categories for compliance withArticle 25 (1) and (2) of the Foreign Exchange and Foreign Trade Act
Please fill out the start date of theTo Kumamoto University
Date of employment (M/D/Y)：

employment contract in KU.

Address：
Signature：
Printed Name：
Affiliation in KU：

Please sign and print
your name clearly.

I understand when Kumamoto University (hereafter referred to as KU) transfers technology toa resident who falls under the clauses 1(3)サ① or ② of the "Notification for Transactions orActs of Transferring Technology Requiring Permission pursuant to Article 25 (1) of the Foreign
Exchange and Foreign Trade Act and Article 17 (2) of the Foreign Exchange Order" (DocumentNo. 492 of the Trade Bureau published on December 21, 1992; hereinafter referred to as the"Notification for Technology Transfer"), KU is likely to be required to obtain a license from theMinister of Economy, Trade, and Industry pursuant to Article 25 (1) and (2) of the Foreign
Exchange and Foreign Trade Act, and, for the sake of compliance by KU with the clauses 1(3)サ① or ② of the Notification for Technology Transfer, I hereby declare that I:

Please be sure to check one ofthe four check-boxes.

□ DO NOT fall under any of the categories below and no declaration is required.
□ fall under the category ① below.
□ fall under the category ② below.
□ fall under the categories ① and ② below.

Please refer to the chart in next page for thejudgement regarding the category ①.

If there are any changes to my confirmation, I should notify the Risk Management Department of the …

――――――――――――――――――――――――――――――――――――――――――
This Declaration Letter (English version) is translation of the Declaration Letter in Japanese. TheJapanese text is the original and the English text is for reference purposes. If there is any conflict orinconsistency between these two texts, the Japanese text shall prevail.

Chart for the judgment regarding the category ①

Have you entered into an Employment Contract with a Foreign

You do NOT fall

Corporation or a Foreign Government?

under Category 1

YES

Is there any agreement that confirms the direction and order of KU
shall prevail over those of the Foreign Corporation or the Foreign
NOGovernment?
ORYou do NOT fallunder Category 1

Is there any agreement that confirms the duty of care to the KU shallprevail over that to the Foreign Corporation or the ForeignGovernment?
YES

Is the Foreign Corporation with which you have contracted a groupNO

You do NOT fallunder Category 1

company of KU?
YESYou fall under Category 1［ Submit your letter ]Please print out the following pages, fill in the required information, and submit thePDF data by e-mail to RMD.
Risk Management Division
Mail：kido-rmd@jimu.kumamoto-u.ac.jp

Declaration Letter
Regarding the applicability of the Specific Categories for compliance withArticle 25 (1) and (2) of the Foreign Exchange and Foreign Trade Act
To Kumamoto University
Date of employment (M/D/Y)：
Address：
Signature：
Printed Name：
Affiliation in KU：

I understand when Kumamoto University (hereafter referred to as KU) transfers technology toa resident who falls under the clauses 1(3)サ① or ② of the "Notification for Transactions orActs of Transferring Technology Requiring Permission pursuant to Article 25 (1) of the Foreign
Exchange and Foreign Trade Act and Article 17 (2) of the Foreign Exchange Order" (Document
No. 492 of the Trade Bureau published on December 21, 1992; hereinafter referred to as the"Notification for Technology Transfer"), KU is likely to be required to obtain a license from theMinister of Economy, Trade, and Industry pursuant to Article 25 (1) and (2) of the Foreign
Exchange and Foreign Trade Act, and, for the sake of compliance by KU with the clauses 1(3)サ① or ② of the Notification for Technology Transfer, I hereby declare that I:□ DO NOT fall under any of the categories below and no declaration is required.
□ fall under the category ① below.
□ fall under the category ② below.
□ fall under the categories ① and ② below.
If there are any changes to my confirmation, I should notify the Risk Management Department of theKumamoto Innovative Development Organization under Article 18 of the Security Export Control
Regulation of the KU.The same shall apply in the case that I come under the command and control ofthe KU again (employment, etc.) after my employment contract is terminated.
Continued on next page

Attention: In cases where the declaration will change, please be sure to contact to the KU
Risk Management Division (Mail: kido-rmd＠jimu.kumamoto-u.ac.jp, TEL:096-342-3143)――――――――――――――――――――――――――――――――――――――――――①A Person who has entered into an employment contract, a delegation contract, a service contract, or
any other contract with a corporation or any other organization established under
the foreign laws and regulations (hereinafter referred to as a "Foreign Corporation"), or a foreign
government, a foreign governmental agency, a foreign local government, a foreign central bank, a foreign
political party or any other political organization (hereinafter referred to as a "Foreign Government") andis subject to the direction and order of the Foreign Corporation or the Foreign Government, or owes theduty of care of a good manager to the Foreign Corporation or the Foreign Government, according to thecontract, except for either of the following cases.
(a)In the case where the Person has entered into an employment contract, a delegation contract, aservice contract, or any other contract with KU and is subject to the direction and order of the KU orowes the duty of care of a good manager to the KU, according to the contract, the KU or the Person
has agreed with the Foreign Corporation or the Foreign Government that the direction and order ofthe Japanese corporation or the duty of care of a good manager to the KU shall prevail over thedirection and order of the Foreign Corporation or the Foreign Government, or the duty of care of a goodmanager to the Foreign Corporation or the Foreign Government.
(b)In the case where the Person has entered into an employment contract, a delegation contract, aservice contract, or any other contract with a KU and is subject to the direction and order of the KU orowes the duty of care of a good manager to the KU, according to the contract, the Person has enteredinto an employment contract, a delegation contract, a service contract or any other contract with aGroup Foreign Corporation (a Foreign Corporation that directly or indirectly holds 50% or more of thevoting rights of the KU or a Foreign Corporation of which 50% or more of the voting rights are held by
the KU. The same shall apply hereinafter.) and is subject to the direction and order of the Group
Foreign Corporation or owes the duty of care a good manager to the Group Foreign Corporation,according to the contract.
②A Person who earns or agrees to earn a large amount of money or other significant profit (money orother profit that accounts for 25% or more of the Person’s annual income when converted into money)
from a Foreign Government.