Change of Information

Form content confirmation

Please fill in the blanks below to complete the form

Here you can change the information of up to 4 children. If you wish to change the information of more than 4 children, please contact us via [Contact us] form or by telephone. Thank you for your understanding.

Client's Name
Contract number

※You can find it in the upper left corner of the storage card or back of contract

Client Name
(children)
The Child's
Birthday
Email address
The 2nd Child's
Name
The 2nd Child's
Birthday

Remove the entry field of the 2nd Children

The 3rd Child's
Name
The 3rd Child's
Birthday

Remove the entry field of the 3rd Children

The 4th Child's
Name
The 4th Child's
Birthday

Remove the entry field of the 4th Children

Add field to input one more child

Input changes

Please enter your changes.

Change your name

Mother's Name
The Child's
Name
The 2nd Child's
Name
The 3rd Child's
Name
The 4th Child's
Name
After the change accepted, there is a case where I am allowed to confirmation by phone.

Changing your address

Postal code
Prefecture
Detailed address
Building name

Change of phone number

Phone number
Cell phone

Changing
the e-mail address

Email address

If you do not see the email, make sure that the spam setting is not active.

Messages or questions to StemCell Institute

Change procedure of registration information we are allowed limited only to subscribers other person.
For confirmation, please check below.

Please read our privacy policy and tick the check box if you accept.
Otherwise the information you have entered will not be sent to us.

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