TEL : 0570-055-722
ユニバーサルプラン入居申込書（個人用）
ナップ賃貸保証株式会社
TEL : 0000-000-000
事務所所在地 | |
商号（名称） | |
電 話 ： F A X | |
担 当 者 |
〈加盟店様〉
〈物件概要〉
【審査受付時間：平日 9 時～ 18 時・土日祝日 9 時～ 17 時】
審査結果によって、預託保証料料率変更・プラン変更・連帯保証人変更、追加等のご提案、もしくは、お引き受けできない場合がございます。
審査の内容・結果等のご質問、お問い合わせについては一切開示いたしませんのでご了承ください。
申込日 年 月 日
入居希望日 年 月 日
区分 | 新規 ・ 入居中 |
申込理由 |
物件名称 | 号室 | 物件所在地 | |||||
①賃料 | 円 | ②管理費／共益費 | 円 | ③駐車場 | 円 | ④収納代行費用 | 円 |
⑤その他 | 円 | ①～⑤賃料合計 | 円 | 委託保証料支払い方法 | □ 初回 100％／年払 20,000 円 □ 初回 100% ／月払 2,000 円 （収納代行費用 330 円 込） | ||
保証プラン | ■ ユニバーサルプラン | ||||||
収納代行利用 | □ ジャックス（コンビニ払い） | ||||||
備考 | |||||||
〈Applicant Summary〉
Applicant | Name | Cell phone | ||||||
Landline phone | ||||||||
LINE ID | ||||||||
Address | ||||||||
Birth date | / / | Gender | F・M | Visa status | Nationality | |||
School name | Preferred Language | English, Chinese, Korean, Vietnamese, Nepalese, Thai, Portuguese, Spanish | ||||||
Company name | Switchboard | |||||||
Direct dialing | ||||||||
Work Address | History in Japan | years and month | ||||||
Type of industry | Years of service | years | Yearly income | ￥ 0,000- | ||||
Roommate | Name | Gender | relationship | Birth date | Cell phone | |||
F・M | / / | |||||||
Name | Gender | relationship | Birth date | Cell phone | ||||
F・M | / / | |||||||
〈Emergency contact〉
※If you have more than three roommates, please fill out an additional application form.
Family emergency contact ※Your parents or siblings. If you are applying for a student visa, please indicate which one of your parents you are applying for. | ||||||
Name | Cell phone | |||||
Landline phone | ||||||
Address | Birth date | / / | ||||
relationship | Gender | F・M | ||||
Nationality | Preferred Language | English, Chinese, Korean, Vietnamese, Nepalese, Thai, Portuguese, Spanish | ||||
Emergency contact in Japan ※Residents of Japan. Nationality and ability to speak Japanese are not required. Corporations are not accepted. If you are applying for a spouse visa, please provide the information for your spouse. | ||||||
Name | Cell phone | |||||
Landline phone | ||||||
Address | Birth date | / / | ||||
relationship | Gender | F・M | ||||
Nationality | Preferred Language | Japanese, English, Chinese, Korean, Vietnamese, Nepalese, Thai, Portuguese, Spanish | ||||
The applicant agrees to the following regarding the handling of personal information in the "Application Form for Moving In.
1.Personal information will be used for the purpose of screening and deciding whether or not to move in. 2.Personal information will be provided to third parties in the following manner.
□Recipients, property management companies and external reviewers
□Purpose of use: To collect information for the purpose of providing credit and our business services, and to exercise our rights and fulfill our obligations based on our guarantee contract and various
Items of personal information to be provided: Personal information provided on the "Application for Means of provision: fax, telephone, e-mail
laws and regulations.
□
Moving In" form.
□
□We have concluded confidentiality agreements regarding personal information with the real estate
3.The Company shall periodically educate its employees regarding the protection of personal information, and shall conduct appropriate management and operation.
4.If there is a request for disclosure, etc. of personal information obtained by the Company, the Company will respond to the request without delay.
5.Although filling in personal information is optional, please note that failure to fill in the required fields may delay our response to you. However, if you do not fill in the required fields, our response may be delayed.
ナップ賃貸保証株式会社【お問合せ窓口】
個人情報保護管理社 個人情報に関するお問合せや苦情開示等の請求は下記で受け付けております。苦情及び相談窓口責任者
x000-0000 xxxxxxxxxxxxxxxxx TEL:0000-000-000 FAX:0000-000-000
management companies and external screening organizations to which we provide such information. Date
/
/
Name