• Some personal information is required from you so that we can reply to you.
• The personal information is only used for the reply to you.
• If you are 16 years old or younger, obtain a guardian's consent before making any request.
• Please confirm the content that you input before pushing the send button.
• The personal information you input is managed by the Human resource & general affairs dept. at the Furukawa Battery's Head Office in Japan. If you have any questions, please sent e-mail to the following address.
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          personaldata@furukawadenchi.co.jp

• Please note that the entire form has to be filled out in English.

Please fill in the following form.