Notes on Requests for Personal Information
1. Identity Verification Documents
We request the submission of the documents set forth the below (1) – (2) in order to respond to
your request for disclosure of personal information, with which we will confirm whether yourrequest is made by yourself or your authorized representative. Please note that if you or yourauthorized representative does not send us the following documents, we will not be able tomeet your request.
(1) Please send one of the following documents as identity verification documents.
① One copy of passport or driver’s license.
② One copy each of any two of the following: health insurance card, pension handbook,certificate of taxes payment (or certificate of tax exemption), or original copy ofresidence certificate.
(2) Please send one of the following documents as identity of the authorized representativeof the person in question.
① Documents specified in the above (1).
② Documents to prove authorization as an authorized representative:
 In the case of legal representative:
One copy of family register or a document from family court certifying as the legalrepresentative.
 In the case of appointed representative:
Seal registration certificate of the person in question and letter of attorney stampedwith the registered personal seal of the person in question.
Note: In order to register contact with the person in question, Sawai Pharmaceutical Co., Ltd.
shall store the above submitted documents with the utmost security, and such
documents will not be returned to you.
2. Postage Fee
If you wish to disclose by mail, please bear the postage fee (standard-size mail: JPY 84,
registered mail JPY 435. Total: JPY 519). The postage fee must be paid by stamp, so please
enclose the stamp (equivalent to JPY 519).
3. Refusal of request for disclosure
Please note that we may reject your request for disclosure in the following cases. We will
inform you if your request falls under any of the following cases:(1)We cannot verify identity confirmation or authorized representative;(2)There is something wrong with each request forms (including errors in the description);(3)The request may infringe the life, body, property or other rights of the person in question or athird party;(4)The request violates laws or regulations;(5)Sawai Pharmaceutical Co., Ltd. is not obligated to respond to requests for disclosure underthe Act on the Protection of Personal Information; or(6)The personal information does not exist or cannot be determined.

Request Form for “Correction, Addition, Suspension of Use, orDeletion of Personal Information”
Contact for inquiries regarding personal information
Sawai Pharmaceutical Co., Ltd.
5-2-30 Miyahara, Yodogawa-ku, Osaka 532-0003, JapanYour address:
Your name:Your signature:
Your phone number:Based on the Act on the Protection of Personal Information, the followings are requested tomy personal information held by Sawai Pharmaceutical Co., Ltd.
Type of request□ Request for correction or addition of personal information□ Request for suspension of use or deletion of personal
information

Details of personal
information coveredby request
The details ofcorrections oradditions requested.
If making a request by a representative, please also fill in the following items.
Acting as:☐ Legal representative☐ Appointed representative
Representative’s
information

Representative’s name
Representative’s signature
Representative’s address
Representative’s phone number