Standarad Plan　Application Form

Standarad Plan　Application Form

Unless otherwise instructed, please complete the form in English.

Some sections are not entered correctly.

Full name Required

Full name in Katakana Required

legal gender Required

Male

Female

Email address Required

Phone number Optional

Number of characters 20 or less Current number of characters 0

Nationality Required

Date of departure from Japan Required

Postal Code in Japan Required

Address in Japan　 Required

Please fill in your address before leaving Japan

country of residence Required

(present) address Required

Name of bank Required

The bank name of the account that you will receive the lump-sum withdrawal payment.

Bank branch name Required

Bank branch address Required

The name of the country where the branch is located Required

Bank account number Required

Name of the accountholder/ applicant Required

Your Basic Pension Number（First ４ digits of number） Required

If your basic pension number is 1234567890, enter 1234.

Number of characters 4 Current number of characters 0

Your Basic Pension Number(Last 6 digits of number) Required

If your basic pension number is 1234567890, enter 567890.

Number of characters 6 Current number of characters 0

Work history in Japan

Please answer in Japanese.
If you have more than one company you worked for in Japan, please fill this out as well.
If you do not have enough fields, please contact us at info@japan-return.com.

Name of the company you worked for in Japan Required

Address of the company you worked for in Japan Required

When did you start working for the company?　 Required

When did you retire? Required

Name of the company you worked for in Japan Optional

If you have more than one work history, please fill in here as well.

Address of the company you worked for in Japan Optional

When did you start working for the company?　 Optional

When did you retire? Optional

Name of the company you worked for in Japan Optional

If you have more than one work history, please fill in here as well.

Address of the company you worked for in Japan Optional

When did you start working for the company? Optional

When did you retire?　 Optional

Type of pension system you were covered by Required

Employees’ Pension Insurance 厚生年金

National Pension 国民年金

Agreed to request for Inoue Social Insurance Lawyer's Office for the procedure for applying lump-sum withdrawal payment Required

I agree

Please check if you agree to the Terms and Condition

Agreed tp request for East International Tax Accountant's Corporation for income tax refund procedures Required

I agree

Please check if you agree to the Terms and Condition

Regarding the remuneration amount of 2,000 yen for the Social Insurance Lawyer's Office, we agree to pay by a part of the refund claim right to East International Tax Accountant Corporation (2,000 yen out of the total fee). Required

I agree

Please check if you agree to the Terms and Condition

If a person from a country with a social security agreement receives a period of withdrawal, the corresponding period will no longer be counted toward the period in the social insurance calculation in the home country.Do you agree with the above? Required

Countries with Social Security Agreements【Germany, USA, Belgium, France, Canada, Australia, Netherlands, Czech Republic, Spain, Ireland, Brazil, Switzerland, Hungary, India, Luxembourg, Philippines, Slovakia, Finland, Sweden】

I agree

Please check if you agree to the Terms and Condition

Terms and Condition Required

Terms and Condition　These Terms and Conditions of Use (hereinafter referred to as "Terms") stipulate the terms and conditions of use of the services provided on this website by East International Tax Accountant Corporation and Inoue Social Insurance Labor Office (hereinafter referred to as "Operator").Registered users (hereinafter referred to as "Users") are required to use this Service in accordance with these Terms and Conditions.

Article 1 (Application) This Agreement shall apply to any relationship between the user and us regarding the use of this Service.

Article 2 (Registration of Use)
1. Applicants for registration apply for registration in accordance with the method determined by the operator, and the operator approves it, and the registration is completed.
2. If the operator determines that the applicant for registration of use has the following reasons, he/she may not approve the application for registration of use, and he/she shall not be obliged to disclose any reason.
(1) Cases where false information is reported when applying for registration of use
(2) In the case of an application from a person who has violated these Terms and Conditions.
(3) In other cases where the operator determines that the registration of use is not appropriate.

Article 3 (Handling of Personal Information)
Based on this service, the operator will use the user's personal information for the purpose of applying for a pension refund and income tax refund.We do not provide any personal information of the user to any third party other than in accordance with laws and regulations.

Article 4 (Usage fees and payment methods)
In return for the use of this Service, the user shall pay the usage fee separately determined by the operator and displayed on this website in the manner specified by the operator.

Article 5 (Business Contract Relationship)
The user agrees to enter into a contract for each business by requesting a withdrawal lump sum payment from the Inoue Social Insurance Labor Office and an income tax refund for the withdrawal lump sum payment from the East International Tax Accountant Corporation.

Article 6 (Prohibited Matters)
Users shall not perform the following actions when using this Service:
(1) Acts in violation of laws and regulations or public order.
(2) Acts related to criminal acts.
(3) Acts of destroying or obstructing the functions of the operator's server or network.
(4) Acts that may interfere with the operation of the operator's services.
(5) Collecting or storing personal information, etc. about other users.
(6) Acts of impersonating another user
(7) the act of giving direct or indirect benefits to antisocial forces in connection with the services of the operator;
(8) Other acts deemed inappropriate by the operator.

Article 7 (Suspension, etc. of the provision of this Service)
1. The operator may suspend or suspend the provision of this Service in whole or in part without prior notice to the user if he/she determines that there are any of the following reasons:
(1) When performing maintenance checks or updates of computer systems related to this Service
(2) When it is difficult to provide this service due to force majeure such as earthquakes, lightning strikes, fires, power outages, or natural disasters,
(3) When a computer or communication line, etc. is stopped due to an accident
(4) In other cases where the Company deems it difficult to provide this service,
2. The operator shall not be liable for any disadvantage or damage suffered by the user or a third party due to the suspension or interruption of the service.

Article 8 (Restrictions on Use and Cancellation of Registration)
1. The operator may restrict the use of this Service in whole or in part or cancel the registration as a user without prior notice in the following cases:
(1) In the event of a breach of any provision of these Regulations.
(2) If it is found that there is a false fact in the registered matter
(3) In other cases where the operator deems the use of this service inappropriate.
2. The operator shall not be liable for any damage caused to the user by the operator under this Article.

Article 9 (Disclaimer)
1. The operator's liability for default shall be waived if it is not intentional or gross negligence of the operator.
2. The operator shall not be responsible for any application for a pension refund or income tax refund under this Service if all the necessary documents are not available for each application within two weeks of the statutory application deadline.
3. The operator shall not be responsible for any transactions, communications or disputes arising between the user and another user or third party in connection with this Service.

Article 10 (Change of Terms of Use)
If deemed necessary, the operator may change these Terms and Conditions at any time without notifying the user.

Article 11 (Notice or Communication)
Notifications or communications between users and operators shall be made in accordance with the manner determined by the operator.

Article 12 (Prohibition of Transfer of Rights and Obligations)
Users may not transfer or provide security to third parties their status or rights or obligations under this Agreement without the prior written consent of the operator.

Article 13 (General Provisions)
1. When interpreting these Terms and Conditions, Japanese law shall be the governing law.
2. In the event of a dispute concerning this service, the Tokyo District Court shall have exclusive jurisdiction over the agreement.

I agree

Please check if you agree to the Terms and Condition

Necessary Documents

Thank you for filling in the required information. Your application will be completed in a few minutes.
Please submit the necessary documents for application below.
Detailed instructions on the required documents can be found on the following pages.

【Required documents to submit】
□Copy of passport
□Bank name, branch name, branch address, account number, and documents that can be identified as the name of the applicant’s account (such as a certificate issued by the bank, or the bank’s account certificate seal).
□National Pension Handbook or other documents that can confirm the basic pension number
□My number card (Or stay card)

【Optional documents that will shorten the refund period】
□Residence card (required if you don’t have a My Number Card)
□Documents that confirm that you no longer have an address in Japan (copy of a certificate of removal of a residence card, etc.)

スタンダードプラン必要書類ガイド

Copy of Passport(Page where you can check yourname, date of birth, nationality, and signature) Required

File size is 100 MB or less.

Page where you can check your name, date of birth, nationality, and signature

Copy of Passport( Page with Japanese visa,landing permit as visa holder, and last departure stamp as visa holder ) Required

File size is 100 MB or less.

Page with Japanese visa, landing permit as visa holder, and last departure stamp as visa holder

Copy of Bank passbook Required

File size is 100 MB or less.

Submit either 1 or 2.
１. Copy of English passbook or English bank certificate of balance
２. If you choose a Japanese bank account
　　(Note)Japan Post Bank accounts is not available
　　(Note)When applying to a Japanese bank account
　　　　The account name must be registered in non-English katakana.

National Pension Handbook andother documents that can confirm the basic pension number Required

File size is 100 MB or less.

A copy of one page of the pension handbook with the basic pension number, name, date of birth, gender, and date of issuance.
(Note)It can be replaced if there are other documents that can confirm the basic pension number. (The basic pension number consists of a total of 10 digits, such as 0123-456789.)

Copy of the front ofMy Number Card Required

File size is 100 MB or less.

Copy of the back ofMy Number Card　 Required

File size is 100 MB or less.

e-signature Required

Please electronically sign and upload the downloaded image from the following url.
https://edipa.com/test2/singarea/

File format is .png. File size is 100 MB or less.

Removal of residence cards, transfernotifications, etc. Optional

File size is 100 MB or less.

Spare1 Optional

File size is 100 MB or less.

Spare2 Optional

File size is 100 MB or less.

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