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Group Registration Form

Do you agree with Prometric Privacy Policy and Test Regulations for your test?　 I agree
P.S. To proceed, please check the above agreement checkbox. Please note that if you leave the above checkbox empty,
your registration will be denied. Please read Prometric Privacy Policy at page two and the test regulations posted on the
registration website of each test (Some tests have test regulations and some do not).

Please fill in the form:

Company Name      

Department      

Person in Charge’s Name      

Company Address      

Company Telephone No.      

Person in Charge’s Email      

Please note that one form is applicable to one test date only.
Test Date Day(dd)    Month (mm)   Year (yyyy)     Total no. of Test Takers     

Number of Test Center For Office Use

Test Name Language Time
Test Takers Code Only
      *Select*            *Select*
      *Select*            *Select*
      *Select*            *Select*
      *Select*            *Select*
      *Select*            *Select*
      *Select*            *Select*
      *Select*            *Select*

IMPORTANT! After the seats were confirmed, an excel file will be sent to the person in charge’s email. The
person in charge is required to fill in the excel file and send it back to us at groupreg@prometric.com. Please
be aware of the deadlines stated in our website for you to send us back the excel file.

For Office Use Only

Total no. of Confirmation Letters

Prometric Group Registration Front Desk

Email： groupreg@prometric.com
（9:00-17:00(JST), excl. weekends, public holidays and New Year holidays）　
➢ Privacy Policy <Agreement on the collection and utilization of personal information>

Before proceeding with a registration, please accept terms and conditions by checking the box on
the top of Registration form.

1. Information Collection & Use

i. We collect personal data for the purpose of registering and scheduling for tests or
assessments, administering tests/assessments and processing payment or results on
behalf of the organization that owns the test you are taking (the “Test Sponsor”)
ii. You will not be required to re-enter the personal data for another registration.
iii. We will send your personal data and test results to the Test Sponsor so that the Test
Sponsor may provide you with the accreditation, service, certification or credential you
seek.
iv. Your personal information may be transferred to government bodies of your country.
v. We may contact you by E-mail, mail, fax or telephone about our/test Sponsor’s service
details or marketing activities (seminars, events, campaigns, newsletter and etc.).
vi. We use your personal data to provide you with testing and related services. For the use of
personal data other than written above, we will specify the purpose and contact details.
Even in that case, the use of your personal data is limited to stated objectives.

2. Please be aware that you cannot proceed with scheduling, registration and other test related
services without proving your personal data.

3. We transfer your personal data to the headquarter of Prometric in the United States protecting
by Secure Sockets Layer. We do not provide your personal data to any other third party other
than this objective.

4. If you wish the disclosure of the objectives on your personal data, disclosure of your personal
data itself, modification, deletion, eraser or termination of the use of your personal data, you
need to contact us. Individuals who have concerns or complaints regarding our processing of
personal data or our privacy policies may send inquiries via email.

Prometric Japan Co., Ltd.

Personal Data Protection Manager

Prometric Group Registration Front Desk

Email： groupreg@prometric.com
（9:00-17:00(JST), excl. weekends, public holidays and New Year holidays）