Contact Information
CHUO LABOUR BANK toll-free telephone number for
confirmation of transactions
Tel.: 0120-535-655
Inquiry hours: Weekdays, 9:00-18:00(service available in Japanese only; service notavailable on weekends or holidays)
When calling, please provide us with the inquiry number
provided below.
Inquiry No.: XXXXXXXXXX

Dear Valued Customer,

Request for Customers to Confirm Residence Status and Purpose of Transactions

Thank you for your continued patronage of CHUO LABOUR BANK.
As the threat of crime and terrorist activities in the international community continues to grow, CHUO LABOUR BANK isworking to combat money laundering and the financing of terrorism, which are carried out through the misuse of financialservices.
CHUO LABOUR BANK is taking measures to prevent money laundering of funds obtained through criminal activities
involving the use of various types of accounts at our bank. To do this, we confirm additional information about ourcustomers depending on the nature and circumstances of their transactions.
Please fill out the document "Request for Confirmation of Purpose of Transactions, etc." (front and back) in Japanese,
paste copies of the front and back of your residence card to the back of the document, and return it in the self-addressedenvelope by the submission deadline.
If your residence card will expire in 3 months or less, you will need to wait and then provide us with an updated versionof your residence card after the period of stay has been updated (extended).
If your period of stay will not be extended, please visit a CHUO LABOUR BANK branch and close your deposit account.
If you do not respond by the submission deadline, you may be restricted from making banking transactions
with us, so please be sure to return the document.
In addition, your information that CHUO LABOUR BANK has on file will be changed if there are any changes based on
the information that you provide in the document.
In addition, please be aware that we can only respond to inquiries in Japanese.

Deadline for submission

ご提出いただく書類について

MM/DD/YYYY

Please send a copy of your residence card (both sides) to CHUO LABOUR BANK after your period of stay has been updated.

For sample entries in languages other than Japanese, please access the provided QR code or URL.
Note: The word “QR Code” is registered trademark of DENSO WAVE INCORPORATED.
For sample entries in languages other than Japanese, please access the provided QR code or URL.
URL：https://chuo.rokin.com/aboutus/safetrade/laundering/confirmation_sample/

How to Submit the Document
Step１

Please fill in the sections of the “Request for Confirmation of Purposeof Transactions,the section
on purpose of transactions.
とりひきもくてきとうかくにん etc.”
ねがincluding
とりひきもくてききにゅう「取引目的等確認のお願い」に取引目的などを記入してください。

Please paste copies of the front and back of your residence card to the "貼るところ

Step２(paste here)" section on the back of the document "Request for Confirmation of
Purpose of Transaction, etc."- If your residence card will expire in 3 months or less, you will need to wait andthen provide us with an updated version of your residence card after the period ofstay has been updated (extended). Paste copies of the front and back of the updated
card to the back of the document.
- Please note that you will need to re-submit copies of a residence card that will be
expiring in 3 months or less.

Step３Please return the document “Request for Confirmation ofPurpose of Transactions, etc.” by using the self-addressedenvelope and mailing it using a post box.

Q&A Section on Confirming Residence Status and Purpose of Transactions
This document has been sent to you in conjunction with our effort to combat money laundering and the financingof terrorism. Please read the frequently asked questions below before filling in and submitting the document.

Ｑ１
Ａ１

Why do I need to provide copies of my residence card again?
The importance of measures to combat money laundering and the financing of terrorism have been
increasing in recent years. In accordance with the "Guidelines Concerning Measures Against Money
Laundering and Terrorist Financing" published by the Financial Services Agency in February 2018, CHUOLABOUR BANK confirms the purpose of transactions and customer information at the counter and by mailfor existing customers, depending on the nature and status of the transaction, in addition to when newtransactions with customers are initiated. After informing customers on our website and through signs ourbranches since August 19, 2019, we have changed various deposit rules starting November 25, 2019 andask customers who are foreign residents to cooperate in confirming their status of residence, period ofstay (date of expiration), "nationality" and purpose of transactions before their period of stay expires andat other times.

Ｑ２
Ａ２

What happens if I do not submit copies of my residence card by the document submission deadline?
If we do not receive copies of your residence card by the document submission deadline, you may
be restricted from conducting transactions with us, so please be sure to return the document intime.

Ｑ３

Do I have to submit the document even if I have obtained permanent residence?

Ａ３Since we also confirm the residence status of permanent residents, customers who have obtained

Ｑ４
Ａ４permanent residence must also submit the document.

Can I continue to have an account at the bank if I do not extend my period of stay?
As a general rule, CHUO LABOUR BANK provides banking services only for customers living in Japan. If
your period of stay is not extended, please visit a CHUO LABOUR BANK branch and close your account. If
you are not closing your account and we do not receive copies of your residence card (or is not provided
upon request), you may be restricted from conducting transactions with us. Please be aware of this.

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⑥

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⑥（10）

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Instructions for Filling Out the Document“Request for Confirmation of Purpose of Transactions, etc.”
Please read these precautions before you start.
・You can fill in information using either Japanese characters or Roman letters.
・If false information is provided, we may be forced to close your account or restrict transactions,so please provide accurate information.
・Please have your residence card on hand when filling out the document.
・If you wish to make a correction, draw a double line through the text and write the correct informationin the margin above it.
(1) Enter the date.
(2) Make sure that the address provided matches your current address. If it is different, place a checkin the box next to “Change”.
- Do not place a check in the box next to “Change” if the address provided matches your current
address.
- If you are unable to confirm that the address provided (in Japanese) is the same as your current
address due to a language issue, place a check in the box next to “Change” and then proceedto (4).
(3) Make sure that the telephone number provided matches your current telephone number. If it is different,
place a check in the box next to “Change”.
- Do not place a check in the box next to “Change” if the telephone number provided matches yourcurrent telephone number.
(4) If you placed a check in the box next to “Change” in (2), enter your new (current) address.
- Separate procedures are required for tax-exempt accounts (Maruyu, Marutoku, and Maruzai),
investment trusts, government bonds, defined contribution pension plans, and personal pension
insurance.
- If you are unable to write the address neither in Japanese characters or Roman letters, the address
listed on your residence card (provided via copy) will be used as the address that we will keep
on file. This means that you can leave the section blank.
(5) If you placed a check in the box next to “Change” in (3), enter your new (current) telephone number.

-1-(6) Make sure that the purpose of transactions provided in the form is the same as your current purposeof transactions. If it is different, place a check in the box next to “Change”.
- Do not place a check in the box next to “Change” if the purpose of transactions provided in
the form is the same as your current purpose of transactions.
- If “No purpose provided” or “Other” is provided in the field, place a check in the box next
to “Change”.
List of Purposes of Transactions
JapaneseEnglish＊＊＊（申告なし）“No purpose provided”

生活費決済

Settlement of living expenses
Settlement of business

事業費決済

expenses

給与／年金受取Receipt of salary/pension

貯蓄／資産運用

Savings/Investment

融資（借入）

Finance (loan)

その他

Other(7) If you have placed a check in the box next to “Change” in step (6), please place a check in thebox next to each applicable transaction purpose (select all that apply).
① Settlement of living expenses ② Settlement of business expenses settlement③ Receipt of salary/pension ④ Savings/Investment ⑤ Finance (loan) ⑥ Other- When selecting “⑥ Other,” please describe the transaction purpose in the parentheses.
If you are unable to describe the transaction purpose using Japanese characters or Roman
letters, please describe the transaction purpose in your native language.
(8) Make sure that the name of place of employment provided matches the current name of the place where
you are employed. If it is different, place a check in the box next to “Change”.
- There will be no change made to this section if you have received the document through your employer,
so do not place a check in the box next to “Change”. If you are unable to confirm that thename of place of employment provided (in Japanese) is the same as the current name of the place
where you are employed due to a language issue, place a check in the box next to “Change” andthen proceed to (12).

-2-(9) Make sure that the occupation provided matches your current occupation. If it is different, placea check in the box next to “Change”.
- Do not place a check in the box next to “Change” if the occupation provided matches your current
occupation- If “n/a” or “Other” is provided in the field, place a check in the box next to “Change”.
List of Occupations
Japanese

English＊＊＊（申告なし）

n/a

会社員

Company employee

公務員

Civil servant

自営業

Self-employed
Officer/Employee of
non-governmental or

団体役職員

non-profit organization

パート・アルバイト・派遣社

Part-time,員・契約社員

contract employee

主婦（主夫）

Homemaker

学生

Student

退職者／無職Retired/Unemployed

会社役員

Company officer

その他

Othertemporary,or(10) Make sure that the telephone number for the place of employment provided matches the current telephone
number. If it is different, place a check in the box next to “Change”.
- Do not place a check in the box next to “Change” if the telephone number for the place of
employment provided matches the current telephone number.
(11) If you placed a check in the box next to “Change” in (9), enter your new (current) occupation.
① Company employee ② Civil servant ③ Officer/Employee of non-governmental or non-profit
organization ④ Part-time, temporary, or contract employee ⑤ Homemaker ⑥ Student⑦ Retired/Unemployed ⑧ Company officers ⑨ Other- When selecting “⑨Other,” please describe your occupation in the parentheses.
If you are unable to describe your occupation using Japanese characters or Roman letters,
please describe it in your native language.
(12) If you placed a check in the box next to “Change” in (8), enter the new (current) name of theplace where you are employed.
- If you are unable to provide the name of the place where you are employed using Japanesecharacters or Roman letters, please write the name in your native language.
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(13) If you placed a check in the box next to “Change” in (10), enter the new (current) telephone number
for your place of employment.
(14) Sign the document after confirming that the information provided is correct.

(15) Paste copies of the front and back of your residence card to the “貼るところ(paste here)" section
on the back of the document "Request for Confirmation of Purpose of Transaction, etc."- If your residence card will expire in 3 months or less, you will need to wait and then provide
us with an updated version of your residence card after the period of stay has been updated(extended). Paste copies of the front and back of the updated card to the back of the document.
- Please do not paste the actual residence card to the document.
- If you have acquired Japanese nationality, please attach a copy of either a Japanese passport,a certificate of naturalization, or a certificate of residence or family register with yourregistered domicile.
・Have you checked over all the items?
・Final Check・If you place a check in the box next to “Change” for any section, did
you make sure that you provided updated information for that section?
・Have you pasted a copy of your residence card (both sides) to the backof the document?

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