Interview Acceptance Form

＜Psychological Professionals and Occupational Physicians＞Thank you very much for your application for an interview. Please fill out the form below and we will contact you shortly.

Personal information handling agreement for online inquiries

Before sending the web form, please be sure to read and agree to the following matters regarding the handling of personal information by ad-dice Co., Ltd. (hereinafter referred to as “our company”) and contact us for consultation.
(1) Name of business operator handling personal information：ad-dice Co., Ltd.
(2) Personal information protection manager：Daisuke Ito
(3) Purpose of use：Personal information provided on the web will be used to answer inquiries to our company.
(4) Provision of personal information to third parties：We will not provide the provided personal information to a third party, except as required by law.
(5) Optionality：The provision of personal information is voluntary, but if you do not provide the personal information necessary to answer your inquiry, you may not be able to receive consultation.
(6)Disclosure, etc.：At the request of the person in question, we will notify the purpose of use, disclose, correct, add or delete the content of the retained personal data held by us, stop using, erase, and stop providing to third parties (“disclosure, etc.” ). For procedures for disclosure, etc., please refer to “Disclosure of personal information” here.
(7) About the handling of personal information：Please see here for details regarding our handling of personal information.

    your company name　*Required fields

    your name　*Required fields

    Attributes and Occupations　＊Multiple selections possible

    therapistpsychiatristpsychologistExecutives and Managersresearch positioninvestorothers

    Email Address　*Required fields

    Phone number

    Inquiry Details　＊Multiple selections possible

    If you have any other information you would like to share with ad-dice, please fill out the form below.

    Thank you for taking the time to fill out this form.


    ◆If you do not agree to the “Personal information handling agreement for online inquiries”, you will not be able to send us your inquiry. Please check the box above and press the send button.
    ◆If you cannot send from the form, please send the same contents to the following e-mail address.

    info ad-dice.com※Please replace  with a half-width “@” and send it.

    Thank you for your inquiry.

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