①     Date of request

Please enter today’s date using the western calendar year. (YYYY-MM-DD)

②Incorporation of ordinary deposit into general deposit account

• If you want your ordinary deposit to be incorporated into your general deposit, please circle "する", and if not, please circle "しない".

• If you already have a general deposit account, your request is treated as one for opening an account other than the general deposit account.

③ Taxation category

• If your taxation category is separate taxation, please circle "分離課税".

• If your taxation category is non-resident, please circle"非居住者".

• If your taxation category is tax-free small-sum tax savings system (commonly called "Maruyu"), please circle "マル優".

④ Postal code

Please enter the postal code of your address.

⑤ Contact information

・ If  you possess a mobile phone, write your mobile phone number.

(E.g. 080-2222-○○○○)

・ If you do not possess a mobile phone, write your home landline number, filling it in from the left as shown below.

[Area code] - [Local number] - [Subscriber number] (E.g. 03－6706－○○○○)

Use  one box for each hyphen that follows the area code and the local number.

⑥ Residential address 1

Please enter the prefecture of your address and its furigana (please enter furigana in katakana) (phonetic transcription).

• If your address is located in Tokyo, please enter "Tokyo" and circle "都".

• If your address is located in Hokkaido, please enter "Hokkai" and circle "道".

• If your address is located in Osaka or in Kyoto, please enter "Osaka" or "Kyoto" and circle "府".

• If your address is located in any other prefecture, please enter the name of the prefecture (e.g. "Kanagawa") and circle "県".

⑦ Residential address 2

Please enter the continued portion of "Residential address 1" and its furigana (please enter furigana in katakana) (phonetic transcription).

If you dwell in an apartment or condominium, please be sure to state your address down to the room  number.

⑧ Name

Please enter your full name with furigana above it (furigana in katakana) (phonetic transcription).

⑨ Amount

Fill in the amount from the right as follows: "￥０"

⑩ Date of birth

Put a "レ" mark in the checkbox next to the applicable era in which you were born: "Showa", "Heisei", "Reiwa", and fill in your date of birth in the following order: Year*, Month and Date.

*Refer to the attached Japanese-western calendar conversion table if necessary.

⑪ Gender

• If you are male, please enter a "レ" mark in the "男性" checkbox.

• If you are female, please enter a "レ" mark in the "女性" checkbox.

⑫ Place of work or school

【Please enter information on your place of work or school in sections ⑫ through⑭.】

Please enter your current place of work or school and its furigana (please enter furigana in katakana) (phonetic transcription).

• If you are a temporary worker, please enter the name of the company you serve.

• If you are a self-employed worker, please enter your trade name. If you have no trade name, please enter a description of your business.

• If you earn real estate or rent income, please enter "real estate income" or "rent income."

⑬ Telephone number

【Please enter information on your place of work or school in sections ⑫ through⑭.】

→ If you are a student, you need not enter information in sections ⑬ and ⑭.

• Please enter the telephone number of your place of work (left aligned).

• If you are a temporary worker, please enter the telephone number of the company you serve.

⑭ Address

【Please enter information on your place of work or school in sections ⑫ through⑭.】

→ If you are a student, you need not enter information in sections ⑬ and ⑭.

• Please state the address of your place of work .

• If you are a temporary worker, please state the address of the company you serve.

⑮ Do not request the issuance of a cash card.

→The design employed for the cash card is the "basic" design. Should you desire a different design (Midosuke, Nadeshiko, Dragon), fill in a separate "cash card application."

→Should you request the issuance of a cash card, you do not need to fill in item ⑮.

Please enter a "レ" mark in the checkbox.

⑯ Treatment as ordinary deposit for settlement

→ If you are requesting an ordinary deposit for settlement, please enter information in section ⑯.

Please enter a "〇" mark in the checkbox.

⑰Web bankbook (Paper bankbook will not be issued)

If you wish to  apply for a web bankbook (a paper bankbook will not be issued), put a "〇" mark in the check box.

①     Registered seal and request seal for various services

1. For a transaction with seal, the seal registered at the time of account opening should be impressed once only and clearly in the box without fail. You are not allowed to enter into a transaction with any of the following types of seal.

• Porous rubber-based seal (e.g. Shachihata-brand seal)

• Extremely small seal (one with unclear display due to its small size)

• Seal over four centimeters in diameter

* The Bank is unable to accept a registered seal impressed that is corrected with an "×" mark or double lines, so please be careful. 

2. For a transaction with signature, please enter your full name signature and PIN number (four digits).

②   Consent to represent and warrant that you are not an anti-social force entity

You are required to represent and warrant that you are not an anti-social force entity.

Please check the attachment titled "Support Sheet" before placing your signature in "ご署名".

③Use of the adult guardianship system

→ Please enter information in section ③ if you use the adult guardianship system.

① Basic maximum amount

【Fill in items ① - ⑤ on the first sheet (front side) of this application if you wish to request the issuance of a cash card.】

→ In section ①, please enter information if applying the basic maximum amount as the maximum amount of cash card usage. 

Please enter a "レ" mark in the checkbox.

The basic maximum amounts of cash card that are set are as shown below.

*The maximum amount of usage  for withdrawal includes the amount of usage of J-Debit Card Service.

J-Debit Card Service represents a type of service that instantly debits a payment amount from a customer deposit account if the customer inserts his/her cash card into a store device when paying for a product purchase and inputs the PIN number. (This service can be used only at stores showing the J-Debit mark for membership in the Japan Debit Card Promotion Association.)

② Maximum amount of withdrawal 

【Fill in items ① - ⑤ on the first sheet (front side) of this application if you wish to request the issuance of a cash card.】

【Please enter information in sections ② through ⑤ if you intend to change the maximum amount of usage . Even if changing one item, you should enter information for the other three items. If you fail to do so, the Bank will set the basic maximum amount.】

→ Please enter information in sections ② and ③ for a magnetic stripe-based transaction.

Please enter the maximum amount that can be withdrawn  per day. The amount can be set in increments  of 10,000 yen and up to 500,000 yen. The maximum amount of usage  for withdrawal includes the amount of usage of J-Debit Card Service.

③ Total maximum amounts of remittance and transfer 

【Fill in items ① - ⑤ on the first sheet (front side) of this application if you wish to request the issuance of a cash card.】

【Please enter information in sections ② through ⑤ if you intend to change the maximum amount of usage . Even if changing one item, you should enter information for the other three items. If you fail to do so, the Bank will set the basic maximum amount.】

→ Please enter information in sections ② and ③ for a magnetic stripe-based transaction.

Please enter the maximum amount that can be used  per day for remittance and transfer on a combined total basis. The amount can be set in increments of 10,000 yen and up to 1,000,000 yen.

④ Maximum amount of withdrawal 

【Fill in items ① - ⑤ on the first sheet (front side) of this application if you wish to request the issuance of a cash card.】

【Please enter information in sections ② through ⑤ if you intend to change the maximum amount of usage . Even if changing one item, you should enter information for the other three items. If you fail to do so, the Bank will set the basic maximum amount.】

→ Please enter information in sections ④ and ⑤ for an IC chip-based transaction.

Please enter the maximum amount that can be withdrawn  per day. The amount can be set in increments of 10,000 yen and up to 500,000 yen. The maximum amount of usage  for withdrawal includes the amount of usage of J-Debit Card Service.

⑤ Total maximum amounts of remittance and transfer 

【Fill in items ① - ⑤ on the first sheet (front side) of this application if you wish to request the issuance of a cash card.】

【Please enter information in sections ② through ⑤ if you intend to change the maximum amount of usage . Even if changing one item, you should enter information for the other three items. If you fail to do so, the Bank will set the basic maximum amount.】

→ Please enter information in sections ④ and ⑤ for an IC chip-based transaction.

Please enter the maximum amount that can be used  per day for remittance and transfer on a combined total basis. The amount can be set in increments of 10,000 yen and up to 1,000,000 yen.

⑥ Discontinue using

→ Please enter information in section ⑥ if you intend to discontinue using J-Debit Card Service.

Enter a "〇" mark.

⑦ Change the maximum amount of usage

→ Please enter information in section ⑦ if you intend to change the maximum amount of usage  per day of J-Debit Card Service.

Enter a "〇" mark. Enter the maximum amount of usage in increments of 10,000 yen after revisions. Stipulate the maximum amount of usage within the range of the set amount for withdrawal in the "magnetic stripe-based transaction" column.

⑧ E-mail address

Please fill in your email address.

• Please enter only one character in each box.

• Letters should be entered in lower-case.

• A period (".") counts as one character.

⑨Notices on products and campaigns

If you wish to receive notification on products and campaigns regularly, please enter a "レ" mark in the "受け取る" checkbox. If you do not wish to receive one, please enter a "レ" mark in the "受け取らない" checkbox.

① Cash card PIN number

Please enter the PIN number of your choice in four-digit Arabic numerals.

You should specify a PIN number that cannot be easily discovered by another person. Please avoid specifying particularly a number that can be easily guessed by another person such as your date of birth, home telephone number, mobile telephone number and serial number.

It is not allowed to specify a number comprising four digits of the same number (e.g. "1111").

The PIN number of your cash card will be the first PIN number for SMBC Direct.