Copy of health insurance

Card type

• 
  (Front)

• 
  (Back)
  Please enter your current address

Paper and other non-card types (individual customers: images sent from a smartphone are unacceptable)

Validity	Before the expiration date
Black Out	Code and number Insurer number Outpatient history (including family members) *[Individual customers] If using a smartphone, please take the image by concealing the above items. *If information other than the above is blacked out (concealed), the Bank cannot verify the validity of the identification and proceed with the procedures.
Notes	If you are a dependent, please also send a copy of the page with your name on it. If your current address is not indicated in the Address field, please make a copy or take a picture after filling in the address on the original. An address for which mail forwarding has been requested cannot be registered as the current address.

Attention

• Please make sure that the copy or image shows the entire document clearly. (Any copies and images that are unclear or have edges cut off are unacceptable.)
• Please note that identification documents cannot be returned.
• False identity information may be subject to punishment under the Act on Prevention of Transfer of Criminal Proceeds.
• Aside from the identification documents required for application, customers may be asked to submit additional identification documents and other information if the Bank deems it necessary for the account opening application.