Please fill out this form and send to aogdpr@apu.ac.jp

For personal information relating to international student/graduate student admissions

Request for Disclosure or Other Handling of Personal Data
Completing this Request for Disclosure or Other Handling of Personal Data
As the subject of personal data, you have rights including access, rectification, restriction, and erasure of your data
under Articles 27, 28, 29, and 30 of the Act on Protection of Personal Information and item 9, etc. of the Ritsumeikan
Asia Pacific University Privacy Policy Pursuant to the EU General Data Protection Regulation (GDPR). Based on theserights, you can make requests regarding the handling of your data. If you wish to do so, please complete the required
sections of this form, sign it electronically, and submit it to APU. You will be notified as soon as APU has completed areview of the content of the form and the grounds for your request.
E-mail Address(This e-mail address will be used to notify theoutcome of your request. Please be careful toenter your address correctly to ensure you canreceive the outcome.)

NameNationality
Category

Current Country of Residence

Graduate SchoolCollegeYes

Have you applied for admission to APU?
(If Yes, enter your application number.)No（）

Essential confirmation items□ In accordance with the Ritsumeikan Asia Pacific University Privacy Policy Pursuant to the EU General Data Protection Regulation(GDPR), I request my name, e-mail address, place of residence, nationality, and other personal information held by APU to behandled as shown below.
□ In accordance with The Ritsumeikan Trust’s documentation regulations, this request form will be retained for 5 years as a recordof the processes followed pursuant to the request. It will be used only by APU’s personal information officers and will not beprovided to any third party.

Date:signature:/YYYYParticulars of Request

1. Category

Place a check ☑ besidethe applicable item(s)/MMDDCheck the applicable items and enter details after referring to item 9 at here.
□(1) Provision of information on personal data□

(2) Access to personal data□

(3) Rectification of personal data□

(4) Erasure of personal data□

(5) Restriction of personal data□

(6) Format of receipt of personal data□

(7) Objection to the processing of personal data□

(8) Automatic processing of personal data□

(9) Withdrawal of consent□(10) Other, including lodgment of complaint

2. Details
Enter the grounds forthe request and otherdetails

Important Notes*1. It may take some time to respond to your request. In principle, if the request is received by the 15th of the month, a response will beprovided by the 1st of the following month; if received on or after the 16th, a response will be provided by the 15th of the followingmonth.
*2. Requests must be lodged personally by the data subject (the person to whom the data pertains). Submit your request via thesame e-mail address as you entered when registering for the mailing list, applying for admission, or registering to participate inevents, etc. Please be aware that APU cannot respond to requests from different e-mail addresses.
*3. This request form is to be used for matters relating to the handling of personal information only: it cannot be used for other purposessuch as amendment or disclosure of details of applications or selection results. APU cannot respond to requests other than those in
the categories listed above.