Request for Disclosure of Personal Information

AMADA will disclose, correct, or discontinue the use of customers' personal information held by us upon your request. Please follow the procedures below when requesting disclosure and such of personal information.

1. Request for disclosure, correction, or discontinuation of use

Please use the designated form "Personal Information Disclosure Request Form" for submitting such request. Please download and fill out the form, and send it to us to the address listed in Section 6. (The form can also be obtained by contacting us at the inquiry desk in Section 6, and have the form sent to you by mail).

DOWNLOAD here (68KB)

2. Identification required for disclosure request

To have access to your Personal Information, you must provide a copy of one of the following as proof of identification:

  • Drivers license
  • Passport
  • Health insurance ID card
  • Pension program card

3. Request for disclosure by authorized agent

If the request for disclosure and such is made by (1) a legal representative of the customer, or (2) an agent authorized by the customer, a copy of one of the following documents must be submitted in order to prove the relationship between the customer, along with the copy of documents described in Section 2.

  1. (1)Legal representative of the customer
    • 1) Copy of family register if the customer is a minor
    • 2) Registration Certificate from the Civil Affairs Bureau if the customer is under guardianship
  2. (2)Agent authorized by the customer
    Letter of attorney
    Plus, a copy of one of the following as proof of identification of the agent:
    • Drivers license
    • Passport
    • Health insurance ID card
    • Pension program card

4. Handling charges for disclosure (Inside Japan)

The following handling charges will apply per one request. Please send the applicable charges to AMADA bank account. The applicant will be responsible for the bank handling charges. AMADA will start the procedure as soon as we confirm the money transfer.

  • Disclosure (including postage) 1,000 yen
  • Correction, discontinuation, and such other than disclosure FREE

5. Response to disclosure request

AMADA will respond promptly to the disclosure request, and send the response by Postal Mail to the applicant's contact address listed in the request form. Also, if any of the following apply, AMADA may not disclose or correct Personal Information in response to relevant requests:

  • Specified application form is not complete
  • Applicant's identity cannot be verified
  • Request is made by an agent, and his/ her letter of attorney cannot be verified
  • The requested information to be disclosed and such does not apply to Personal Information
  • There is a risk that disclosure will harm the life, body, assets, or other rights and interests of the customer or a third party
  • Disclosure will cause significant interference with the proper conduct of AMADA business
  • It violates some other law or regulation

6. Contact Office

Please contact our representative below for any inquiries related to this document, or personal information held by us:

AMADA CO.,LTD. Personal Information Inquiry Desk

Address : 200 Ishida, Isehara-shi, Kanagawa, 259-1196
e-mail :

Contact for repair/recovery of AMADA products and our corporate activities.