Registration Information Change Form

If you would like to change your customer information, please fill out the change form below and submit it.
Please note that the customer information you enter on this page will be encrypted and transmitted securely.

Please fill in all fields as we will verify your current contract details.

※Procedures are available for up to 4 children.
For 5 or more children, please submit the procedure
in two separate applications
or contact us by phone.

Please enter your basic customer information.

Contractor（Party B）

Contractor（Party B）Phonetic

Contract Number　Alphanumeric: If you do not know your contract number, you may leave this field blank

Contractor（Party C/Child）

Contractor（Party C）Phonetic

Date of Birth　Western Calendar

Year
Month
Day

E-mail　Alphanumeric

The email address you enter will be registered.

For confirmation, please enter again

●We may contact the contractor to confirm the details of the changes.

Delete Contractor Party C 2 input field

Contractor 2（Party C/Child）

Contractor 2（Party C）Phonetic

Date of Birth　Western Calendar

Year
Month
Day

Delete Contractor Party C 3 input field

Contractor 3（Party C/Child）

Contractor 3（Party C）Phonetic

Date of Birth　Western Calendar

Year
Month
Day

Delete Contractor Party C 4 input field

Contractor 4（Party C/Child）

Contractor 4（Party C）Phonetic

Date of Birth　Western Calendar

Year
Month
Day

Add Contractor Party C input field

Please fill in only the sections you wish to change

Name Change

Contractor（Party B/Parent）: If your new address is overseas, please enter in Roman characters.

Contractor（Party C/Child）: If your new address is overseas, please enter in Roman characters.

Contractor 2（Party C/Child）: If your new address is overseas, please enter in Roman characters.

Contractor 3（Party C/Child）: If your new address is overseas, please enter in Roman characters.

Contractor 4（Party C/Child）: If your new address is overseas, please enter in Roman characters.

Address Change

Please select address type

Japan Address Overseas Address

Postal Code

Prefecture

City/Address

Room/Building Name

Phone Number Change

Phone Number　Alphanumeric

Mobile Number　Alphanumeric

For other communications or questions, please contact us through our contact form.

Important Notice

Registration information changes are limited to the contractor only.
Please check the following for confirmation.

The change procedure was performed by the contractor

Please read our "Privacy Policy". If you agree, please check "I agree". Information will not be sent without this check.

I agree