Download Pre-Registration Form

  1. Download the 4 items on the left and print them out.
  2. Fill out the required fields completely.
  3. Print out the stamped self-addressed envelope, and send in the documents. (You can send the envelope as is without affixing a stamp.) If you prepared your own stamped envelope, please send them to the following address.
  4. ※ Caution during printing
  5. Please use regular white A4 size paper.
  6. Please do not do size enlargement or size reduction printing.
  7. For customers applying for starting on January 1st, 2016, you will be required to submit your Individual Number document along with your identification documents.
Mail address for Pre-Registration Form
4-3-17 Shinjuku, Shinjuku-ku,Tokyo, Japan 160-0022
BRICKs Corporation.
Western Union DSK International Money Transfer Support Center
Pre-Registration Form

Inquiries about our services

International Money Transfer Support Center 0120-3630-44 (Toll Free: Mobile phone/PHS are also accepted)

9:00-22:00, everyday

Supported languages
Supported languages

Page Top