The Director General of the National Diet Library 1-10-1 Nagata-cho, Chiyoda-ku, Tokyo 100-8924 JAPAN Application to Update Registered User Information for the Data Transmission Service for Persons with Print Disabilities Please update my registered user information for the Data Transmission Service for Persons with Print Disabilities. Date of application: Please fill in the following sections. ID (beginning with E) *Can be left blank. Name (Roman alphabet): Date of birth: (day/month/year) Registered address: Country: * If outside Japan. Please select the purpose of application / notification from the following and check it. □ 1. Change registered user information. □ 2. I can’t find my user registration certificate or have forgotten my password. □ 3. My ID and password was stolen. □ 4. I wish to extend my expiration date. (Possible any time within three months of your expiry date. No application necessary if you have visited the Tokyo Main Library, Kansai-kan, or International Library of Children's Literature.) □ 5. Please cancel my user registration. If you selected Item 1 above, please fill in the up-to-date information below and write "no change" for items that remain the same. Name (Roman alphabet): Address: Description of your disability that affects reading printed materials. TEL: *Include country code if outside Japan. FAX: *Include country code if outside Japan. E-mail address: