Translated from Japanese to English - www.onlinedoctranslator.

com

Disclosure date 2023/1/19

application number 2301372014

JITHU JAYAN looks

Application number: 2301372014

About credit information disclosure

Thank you for submitting your application for credit disclosure. We will disclose the details of your credit information registration
in the form of a "Credit Information Record Disclosure Statement." For the contents of the "credit information record disclosure
statement", please refer to "How to read the credit information record disclosure statement".
If you have any questions, please contact the support dial below. (In that case, we will ask for the application number described in this letter.)

Support dial 0570-055-955

Operator reception hours: Monday to Friday (excluding holidays and year-end and New Year holidays) 10:00 a.m. to 4:00 p.m.

We have investigated the following items requested by our customers.

Kana name Jayan Jittou

Kanji name

Alphabetical name JITHU JAYAN

JAYAN JITHU

date of birth H06.11.18

telephone number 090-1297-6331

post code 446-0008

identity verification documents Residence Card/Special Permanent Resident Certificate DX24629119JA

symbol number
Driver's License/Certificate of Driving Experience 542200431450

·The disclosure of credit information is a system for customers to check the credit information registered with us.

·Please keep the credit information record disclosure document in a safe place. Our company will not be held responsible for any loss or theft.

·If the registered contents are different from the facts, please contact the company that registered the information.

You can also contact us, but if two months have passed since the date of disclosure, we will ask you to perform the procedures to disclose your credit information again.

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 Disclosure date 2023/1/19

application number 2301372014

Credit Information Record Disclosure Statement (Summary)

Below is a summary of your credit information registered with us. For details, see the following pages.

1 Contract details (2 cases)

No. 1. Registered company name 2. Registration file 3.Contract status 4.Contract date 5.Transaction form 6. Balance amount 7.Change reference information, etc.

credit card (cash

1 Epos Card Co., Ltd. File D 2022/07/24 100,000 yen
Thing)
under contract

2 Epos Card Co., Ltd. File M under contract 2022/07/24 Comprehensive credit purchase brokerage 38,000 yen

2 Comments and service information reported by the person (0 items) 3 Member inquiry records (2 cases)

self-reported comment 0 cases Service information 0 cases Inquiries at the time of contract/application 2 cases Inquiry after contract 0 cases

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 How to read the credit report disclosure

This is an explanation of how to read the credit information record disclosure statement (hereinafter referred to as the “disclosure statement”). If you have any questions, please contact the support dial listed on the front cover.

1 Registration period The registration period differs depending on the contract status.

contract status content Registration period

(1) Under contract On-going contract status with balance Duration of contract

5 years from the contract date or the payment date when the balance becomes 0 yen
(2) Under contract (Balance 0 yen) The contract is ongoing, and the balance is 0 yen with no use at the moment. within. If there is a transfer or registration of reference information,
maximum duration of any information.

(3) Termination of contract contract is terminated Within 5 years from the payment date (contract end date)

(4) Already transferred The member has transferred the receivables to a company that is not a member of the Company *Registered in the state at the time of transfer Within 1 year from the transfer date

2 Description of each item

The number of each item is the same as the number stated in the disclosure document.

(1) File D …Mainly cash advance contracts such as borrowing information from moneylenders are registered.
*The registration period varies depending on the contract date or loan date.

contract date or loan date contract date or loan date

item name content
Registration period before 2019/9/30 Registration period after October 1, 2019

1. Registered company name Company name that registered customer information

2. Registration file Answer "File D"

-
(1) Under contract, (2) Under contract (balance 0 yen), (3) Contract terminated, (4) Already transferred, (Under investigation) After disclosure, a request was made
3.Contract status
to investigate registered information, etc., and is currently under investigation. information that represents

(1) Contract date: the date the contract was signed (2) Loan date: the date the loan was made *In the case of a guarantee contract
4.Contract Date/Lending Date
receivable: the date the financial institution, etc. contracted the loan, or the end of the month

Information representing the type (content) of the transaction In accordance with "1 Registration period".
5.Transaction form * (Corporate contract joint guarantor): Information that the representative of the
company is the joint guarantor.
6. Balance amount Balance amount *In the case of a guarantee contract, the balance amount confirmed by the guarantee company from the contracted party

7.Change reference information, etc.

arrears Information that there is no payment for more than 3 months from the scheduled payment date and both principal and interest are delayed

arrears of principal Information that there is no payment for more than 3 months from the scheduled payment date and only the principal is delayed Overdue period
overdue interest Information that there is no payment for more than 3 months from the scheduled payment date and only the interest is delayed

Any of "overdue," "overdue principal," or "overdue interest" is registered, and the overdue
the duration of the contract and
overdue cancellation amount has been fully paid and the overdue status has been resolved. information such as Within 1 year after cancellation of delinquency

delinquent interest credited, balance rebalanced due to settlement, etc.

Within 5 years after contract termination

Debt Collection Information that the contractor has taken legal procedures such as compulsory execution and demand for payment

debt consolidation Information that the customer has taken debt consolidation actions. Including those for which the customer has the right to defend
the duration of the contract and
Within 5 years from the date of occurrence
bankruptcy petition Information that you have filed for bankruptcy *Withdrawal of legal complaint
Within 5 years after contract termination

*Withdrawal of legal complaint

until then, if any
specific arbitration Information that you have filed for specific arbitration until then, if any
and and
Information that the customer applied for application of the Civil Rehabilitation Act (rehabilitation procedures for small-scale individuals, rehabilitation procedures for salaried workers,
Civil Rehabilitation
etc.)

Guarantee performance Information that the guarantor company made payment to the contractor on behalf of the customer

Guarantee contract repayment Information that the contractor has received a lump sum payment from the guarantee company
the duration of the contract and
Within 5 years from the date of occurrence
joint guarantor repayment Information that the joint guarantor has paid all remaining debt due to the customer's inability to repay Within 5 years after contract termination

forced cancellation of card Information that the contractor forcibly canceled the comprehensive contract due to the customer's lack of repayment ability

Under defense Information that the customer has submitted a statement of defense against payment against grounds for which a defense is recognized under the Installment Sales Act Continuing defense against payment

the duration of the contract and

denial of identity Information that the customer denies the fact of the contract and the contractor acknowledges it Within 5 years from the confirmation date
Within 5 years after contract termination

8. Membership status of CIC Registered company's membership status of CIC

9. Date of use Withdrawal or redemption date in blanket contract

10. Usage amount Amount withdrawn or used in a blanket contract

(1) Total amount used: Total amount used at the time of withdrawal in the case of a comprehensive contract
11.Total usage/
(2) Loan amount: Loan amount for individual contracts
Loan amount/Guarantee amount
(3) Guarantee amount: Amount guaranteed by the guarantee company based on the guarantee contract

12. Deposit date Latest payment date (The payment date may be updated when the balance decreases due to debt consolidation, etc.)

(1) Scheduled date of payment: Scheduled date of next payment

13. Scheduled payment date/Balance confirmation date *If there is a payment less than the interest, the payment date and the scheduled payment date are the same (2) Balance

confirmation date: The date the guarantee company confirmed the balance from the contracted party

(1) Completion date: In the case of a comprehensive contract, the date on which the contract ended.In the case of

14.Completion Date/Transfer Date an individual contract, the date on which all debts were repaid.

(2) Transfer date: The date on which the member transferred the claim to a business operator not affiliated with the Company
In accordance with "1 Registration period".

(1) Comprehensive contract: A contract that allows repeated borrowing and purchase of goods and services
within a preset limit.
15. Comprehensive individual
(2) Individual contract: A contract to repay an individual loan amount, product or service purchase price, etc., according to
conditions such as a fixed number of times.

Regarding the registration and use of credit information with our company, classification
16. Obtaining Consent
of whether or not consent has been obtained from the customer.

Presence or absence of addition (underwriting) of spouse's income in the calculation of total amount of income based on
17. Spousal acceptance
the Money Lending Business Act *If yes, borrowed based on the total income of self and spouse.

In the case of a comprehensive contract, a classification that indicates whether the loan amount exchanged by the designated credit information agency under the Money

Lending Business Act is the "post-withdrawal balance" or the "withdrawal amount."

18. Legislative Amount Classification (1) Not stated: Cases other than comprehensive contracts
(2) Post-withdrawal balance: If the loan amount is the post-withdrawal balance
(3) Withdrawal amount: If the loan amount is the withdrawal amount

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(2) File M …Contracts with credit and financial institutions are mainly registered. Amounts are displayed in units of 1,000 yen. *The registration period varies depending on the contract date.

contract date or loan date contract date or loan date

item name content
Registration period before 2019/9/30 Registration period after October 1, 2019

1. Registered company name Company name that registered customer information

2. Registration file Answer "File M" -

(1) Under contract, (2) Under contract (balance 0 yen), (3) End of contract, (4) Already transferred, (Under investigation) After disclosure, a request was made to
3.Contract status
investigate registered information, etc., and is currently under investigation. information that represents

4.Contract date Date of contract

5.Transaction form Information representing the type of contract (transaction) In accordance with "1 Registration period".

6. Balance amount Balance amount *In the case of a guarantee contract, the balance amount confirmed by the guarantee company from the contracted party

7.Change reference information, etc.

Principal/fee delay Information that both principal and fees are overdue for 61 days or more, or 3 months or more from the scheduled repayment date

overdue principal Information that the principal is overdue for 61 days or more or 3 months or more from the scheduled repayment date duration of delay
fee delay Information that fees are overdue for 61 days or more or 3 months or more from the scheduled repayment date

Any of "Delinquent Principal/Fees", "Delinquent Principal", or "Delinquent Fees" is registered and is no longer "Delayed",
the duration of the contract and
Elimination of delay Full payment has been made (paid off), 3 or more times after changing payment terms Information if any of the following Within 1 year after cancellation of delay
Within 5 years after contract termination
applies: payment was made successfully

Guarantee performance Information that the guarantor company made payment to the contractor on behalf of the customer

subrogation Information that the contractor has received a lump sum payment from a guarantee company or a third party, etc.

Information that the contractor forcibly canceled the contract or membership due to the customer's lack of payment ability, etc.
forced termination
the duration of the contract and
Within 5 years from the date of occurrence
Within 5 years after contract termination

Information that repayment terms such as deferred repayment, which do not include a reduction in the contracted repayment amount, have been changed due to the
Change repayment terms
customer's lack of ability to pay, etc.

Repayment total change Information that the repayment amount, etc. in the contract has been changed

Assignment of receivables Information that the contractee transferred the claim to a third party * Registered in the state at the time of transfer Within 1 year from the date of occurrence

Debt Collection Information that the contractor has taken legal procedures such as compulsory execution and demand for payment

the duration of the contract and

bankruptcy petition Information that you have filed for bankruptcy Within 5 years from the date of occurrence
Within 5 years after contract termination
*Withdrawal of legal complaint
Information that you have filed for specific arbitration *Withdrawal of legal complaint
until then, if any
specific arbitration

until then, if any

and
Civil Rehabilitation
Information that the customer applied for application of the Civil Rehabilitation Act (rehabilitation procedures for small-scale individuals, rehabilitation and
procedures for salaried workers, etc.)

Under defense Information that the customer has submitted a statement of defense against payment against grounds for which a defense is recognized under the Installment Sales Act Continuing defense against payment

Name caution Information that a contract was made under another person's name or a fictitious name, etc.
the duration of the contract and
Within 5 years from the confirmation date
Within 5 years after contract termination
denial of identity Information that the customer denies the fact of the contract and the contractor acknowledges it

8. Date of use Latest usage date

9. Contract Amount/Maximum Amount (1) Contract amount: Contract amount (2) Maximum amount: Maximum amount

10. Cashing limit credit card cash advance limit

11. Cashing Balance credit card cash balance
12. Installment balance Balance of comprehensive credit purchase brokerage or individual credit purchase brokerage

13.Guarantee Amount Guarantee amount at the time of contract

(1) Latest payment date: Latest payment date (The payment date may be updated when the balance decreases due to debt
14. Latest deposit date/Balance confirmation date consolidation, etc.)
(2) Balance confirmation date: The date the guarantee company confirmed the balance from the contracted party

15. Expected payment date Scheduled date of next payment * In the case of a partial payment that is less than the scheduled payment amount, the date of the latest payment and the scheduled date of payment are the same day.

16. Product name The name of the product or service purchased. The number in parentheses is the quantity, number of times, and period of the product.

In accordance with "1 Registration period".

17. Membership status of CIC Registered company's membership status of CIC

18. Information Confirmation Date The date on which the member who registered the information confirmed the registered information

19. Contract End Date (1) In the case of a comprehensive contract: Contract cancellation date (2) In the case of an individual contract: Date of full payment

Contractual payment cycle. “Y” = year, “M” = month, “number only” = day, “FR” =
20. Payment Cycle
payment cycle is not fixed

21. Number of payments Number of payments under contract

22. Scheduled Annual Payments Amount to be paid in one year based on the contract

23. Annual payment reference date The date that served as the basis for calculating the amount to be paid in a year

24. Classification of principal/guarantor (1) The person (2) Guarantor: Representative joint guarantor of the corporate contract

25. Obtaining Consent Regarding the registration and use of credit information with the Company, classification of whether or not consent is obtained from the customer

26. Duplicate receivables Information indicating that the same contract information is also registered in file D

(3) Comments and service information reported by the individual

Division content Registration period

(1) Information that our company registers the contents of the declaration from the customer. Within 5 years from the date of registration
self-reported comment
(2) If the customer's address is in an area covered by the Disaster Relief Act, information registered by the Company to that effect. Within 1 year from the date of registration

(Example) Attention to the name...Information that the contract was made under another person's name or fictitious name, etc.
Service information Within 5 years from the date of occurrence (with some exceptions)
Name changed: Information that the customer has changed their name due to marriage, etc.

(4) Membership inquiry records: records of customer information inquiries made by affiliated members (excluding inquiries made on the day of disclosure). *If the affiliated member making the inquiry withdraws from the Company, the date of withdrawal will be indicated in parentheses.

item name content Registration period

1.Inquiry date Date of inquiry by member

2.Inquiry company name* Name of the company making the inquiry (customer's application/contract destination)

3. Inquiry target (1) Principal (2) Guarantor (3) Spouse: Inquired as a spouse (only for spousal loans)
(1) At the time of contract: Inquiry for the purpose of investigating the customer's repayment ability at the time of contract
1st step
(2) After contract: Inquiry for the purpose of investigating the repayment ability of the customer under contract Within 6 months from the date of inquiry

4.Inquiry purpose/
2nd row Information representing the type of contract for which you have applied for or transacted
Inquiry agency
Credit information agency to which the member made an inquiry
3rd row
JICC: Japan Credit Information Corporation CIC: C.I.C. Co., Ltd.
5. Product name Product name requested by the customer. The number in parentheses is the quantity, number of times, and period of the product.

6. Application amount Amount of product requested

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 Disclosure date 2023/1/19

application number 2301372014

Credit Report Disclosure Statement (File D)

<Personal requirement information>

Jayan Jittou
one's home 00000000000000
Jayan Jittou
family name telephone number

JAYAN JITHU
contact address 080-8748-3604

date of birth H06.11.18 sex male

〒446-0008 4-15-9-101
Home Address

4-15-9-101 Imahoncho, Anjo City, Aichi Prefecture

Maltaka Kabushiki Gaishiya

workplace Marutaka Co., Ltd.

0565-52-1531

driver's license passport

Alien registration certificate

Identity verification documents

insurance card

Other identification documents DX24629119EN

<Credit information>

No.1

1. Registered company name Epos Card Co., Ltd. 8. Membership status of CIC accession

2. Registration file File D 9. Date of use 2023/01/07

3.Contract status under contract 10. Usage amount 100,000 yen

4.Contract date 2022/07/24 11.Total Usage 100,000 yen

5.Transaction form Credit card (cash advance) 12. Deposit date 2023/01/04

6. Balance amount 100,000 yen 13. Expected payment date 2023/03/04

14.Payment date

15. Comprehensive individual blanket contract

16. Obtaining Consent It has been acquired

17. Spousal acceptance No spousal acceptance

7.Change reference information, etc.

18. Legislative Amount Classification Withdrawal amount

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 Disclosure date 2023/1/19

application number 2301372014

Credit Report Disclosure Statement (File M)

<Personal requirement information>

Jayan Jittou 00000000000000

one's home

family name telephone number

Jayan Jittou 080-8748-3604

contact address

JAYAN JITHU

date of birth H06.11.18

〒446-0008 4-15-9-101 Aichi Ken Anjiyomahonmachi

Home Address
4-15-9-101 Imahoncho, Anjo City, Aichi Prefecture

Maltaka Kabushiki Gaishiya

workplace Marutaka Co., Ltd.

0565-52-1531

driver's license passport

Alien registration certificate

Identity verification documents

insurance card

Other identification documents DX24629119EN

<Credit information>

No.2
1. Registered company name Epos Card Co., Ltd. 17. Membership status of CIC accession 18. Information Confirmation Date 2022/12/20

2. Registration file File M 8. Date of use 2022/12/18 19. Contract End Date

3.Contract status under contract 9. Extreme amount 300,000 yen 20. Payment Cycle 1M
4.Contract date 2022/07/24 10. Cashing limit 100,000 yen 21. Number of payments

11. Cashing Balance 0 Yen 22. Scheduled Annual Payments 0 Yen

5.Transaction form Comprehensive credit purchase brokerage
12. Installment balance 0 Yen 23. Annual payment reference date 2022/12/20
6. Balance amount 38,000 yen 13.Guarantee Amount 24. Classification of principal/guarantor himself

14. Latest deposit date 2022/12/04 25. Obtaining Consent It has been acquired

15. Expected payment date 2023/01/04 26. Duplicate receivables

7.Change reference information, etc.

16. Product name

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 Disclosure date 2023/1/19

application number 2301372014

Credit Information Record Disclosure Statement (Member Inquiry Record)

This is a record of inquiries by members who match the name, date of birth, and phone number of the customer listed on page 1. Inquiries on the day of disclosure are not included.

3. Inquiry
No. 1.Inquiry date 2.Inquiry company name
4.Inquiry Purpose/Inquiry Organization 5. Product name 6. Application amount
(Date of withdrawal) subject

at the time of contract

credit card
1 2023/01/05 Life Card Co., Ltd. himself
Thing)
Inquiry agency: JICC

Aeon credit service

at the time of contract

2 2022/10/15 himself credit card guarantee

Su Co., Ltd.
Inquiry agency: JICC

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