Workmen's Accident Compensation Insurance Subscription Confirmation Service
Insurance enrollment reference system for checking insurance enrollment status
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Contact email address setting screen
Please enter your contact email address before applying for registration.
We will send you an email with the URL for registration application.
* Please be sure to be able to receive mail from email@example.com before sending.
Contact E-mail address
Please enter your e-mail address in English.
Your password can't be too similar to your other personal information.
Your password must contain at least 8 characters.
Your password can't be a commonly used password.
Your password can't be entirely numeric.
Enter the same password as before, for verification.
→ Terms of service
I agree to the terms of service.