Joint Use of Personal Data with Tokyo University of Science Insurance Plaza Co., Ltd.

Annex 2F, Bldg. 10, Tokyo University of Science Kagurazaka Campus, 3-24-1 Ichigayatamachi, Shinjuku-ku, Tokyo
Tokyo University of Science Insurance Plaza Co., Ltd.; Chief Executive Officer: Takashi Sasaki

Execution of procedures for contracts, contract modifications, and other accompanying tasks related to the Student Accident Mutual Aid Compensation System

(1) Student’s name and student’s name in kana characters
(2) Student’s date of birth
(3) Student’s undergraduate faculty department or graduate school department of affiliation and ID number at Tokyo University of Science
(4) Address of student’s guarantor
(5) Contact information for student’s guarantor
(6) Other information as required to execute procedures relating to the Student Accident Mutual Aid Compensation System

Tokyo University of Science Foundation