Letter of Consent / Letter of Attorney Downloads

Letters of consent and letters of attorney can be downloaded as PDF files from the links below.

Letter of Consent (PDF Download)

Consent from legal parent or guardian

A letter of consent from the subscriber's legal parent or guardian is required when making the following orders if the subscription is in a minor's name.

Orders requiring consent of legal parent or guardian

  1. New application
  2. If applying for a DOCOMO installment payment contract (individual credit purchase brokerage contract/installment sale contract), Basic Course, or a Trade-in Program when changing the model or subscription
  3. If the billing plan is Type Limit, Limit Plus, or Family Wide Limit
    Changes to other billing plans, Limit password changes, cancelling function suspending raising of the limit, changing to a course with a higher limit, or application for Pake-hodai double
  4. If applying for i-mode or applying for, cancelling, or changing Access Restriction Service (Kids' i-mode Filter/i-mode Filter/Time Restriction/Web Restriction/Access Restriction Customizer)
  5. d CARD mini (Application for credit card service, or cancellation of setting to prevent application.)
  6. Other procedure specified by DOCOMO
  7. All orders where an application has been made by the legal parent or guardian in advance, requiring consent at the time of each order

The following documents are required to verify that consent has been given by the legal parent or guardian.
[1] Documents verifying the identity of the legal parent or guardian*1
[2] Letter of consent from legal parent or guardian (Must be signed by the legal parent or guardian, or stamped with their seal.)

English

PDFLetter of Consent (PDF format: 167KB)

PDFExample Letter of Consent (PDF format: 195KB)

Chinese

PDFLetter of Consent (PDF format: 170KB)

PDFExample Letter of Consent (PDF format: 228KB)

Spanish

PDFLetter of Consent (PDF format: 167KB)

PDFExample Letter of Consent (PDF format: 190KB)

Portuguese

PDFLetter of Consent (PDF format: 184KB)

PDFExample Letter of Consent (PDF format: 218KB)

Filtering Services Waiver Form

If the user is under 18 years of age (a minor) and the guardian requests to not have filtering service, Filtering Services Waiver Form must be submitted.
For Hyogo Prefecture and Ishikawa Prefecture where separate regulations are executed, the proper form for that area, not DOCOMO's form, needs to be submitted. Please contact the respective section of the municipal office in your area on how to obtain their Filtering Services Waiver Form.

English

PDFFiltering Services Waiver Form (PDF format: 54KB)

PDFExample Filtering Services Waiver Form (PDF format: 49KB)

Letter of consent/letter of attorney regarding Kake-hodai & Pake-aeru (for application and charge simulation)

  1. Charges are simulated based on past actual usage (only usage shown in the breakdown of charges) of the mobile phone line subject to the simulation. If charge simulation is requested for a share group with lines in the name of a person other than the applicant, the consent of the subscriber of each line is required.
    (Please fill in the following Letter of Consent/Letter of Attorney's section 1. Consent for charge simulation and authorization for a change in billing plan or Share pack application.)
    • If the representative line subscriber of a single billing group requests simulation for a share group with sub lines in their single billing group, the consent of sub line subscribers is not required.
  2. Authorization is required from the subscriber when procedures for changes in billing plan or Share pack application, etc. is to be done by a representative.
    (Please fill in the following Letter of Consent/Letter of Attorney's section 1. Consent for charge simulation and authorization for a change in billing plan or Share pack application.)
  3. If a person who has a different surname and different address of residence from the share group representative line subscriber wishes to join the share group, the consent of the representative line subscriber is required. (Please fill in the following Letter of Consent/Letter of Attorney's section 2. Consent of the share group representative line subscriber regarding share group application.

English

PDFLetter of consent/letter of attorney regarding Kake-hodai & Pake-aeru (for application and charge simulation) (PDF format: 134KB)

PDFExample Letter of consent/letter of attorney regarding Kake-hodai & Pake-aeru (for application and charge simulation) (PDF format: 184KB)

Letter of Attorney (PDF Download)

Letter of attorney

Application by a representative

For an application made by a representative, a letter of attorney is required. Present the following documents for the order procedure.

[1] Identification document of the subscriber*2
[2] Letter of attorney (Either of the subscriber's signature or written name and seal is required. If the subscription is in the name of a company or organization, the company seal is required.)
[3] Identification document of the representative*2

Use the following format for a letter of attorney.

When creating a letter of attorney yourself, enter the following information in the letter of attorney.

  • If the entered information is incorrect or insufficient, DOCOMO may contact the subscriber or may not accept the order.
    If any of the entered information is found to be false, DOCOMO may suspend use or cancel the contract.
Information to enter in letter of attorney
  • The subscriber must enter all the information.
  1. Date letter of attorney created (date written)
  2. Mobile phone number subject to order
    • This does not need to be entered in the case of a new subscription for a mobile phone or when will not specify (or have not specified) a mobile phone number to be paired with docomo Hikari in the case of an order related to docomo Hikari.
  3. Name, postal address, contact phone number, and date of birth of the subscriber
    • If the name of the subscriber is not in their own handwriting, their seal must be affixed (in the case of a corporate subscriber, the seal must always be affixed).
  4. Name, postal address, contact phone number, and date of birth of the legal representative
  5. Order details and the fact that delegating full authority regarding the order
    • Also enter the following information according to the order details.
    [1] When new subscription for a mobile phone
    • Number of lines for which applying
    • Payment method
    [2] When using DOCOMO installment payments to purchase a mobile phone, etc.
    • Fact that delegating full authority regarding the application for DOCOMO installment payments
    • Consent for the acquisition and provision of customer personal credit information from/to a "designated credit information agency" specified by the Ministry of Economy, Trade and Industry
    • Number of payments (12 or 24 payments)
    • Fact that will use DOCOMO installment payments for a product costing more than ¥100,000 (incl. tax)
  6. Number of points to be used
    • When points will be used for purchasing a mobile phone, etc., enter the number of points to be used.

An application may not be able to be accepted from a representative depending on the order.

  1. In the case of making a new subscription under a personal name, concluding a DOCOMO installment payment contract at the same time as changing models or subscriptions under a personal name, or applying for a MNP reservation, a representative (except for a legal representative or member of the subscriber's family) cannot make the application.
  2. A representative (except for a legal representative) cannot make an application for some of the services related to the subscriber's confidentiality of communications such as the Itemized Billing Service. The application must be made by the subscriber.

English

PDFLetter of Attorney (PDF format: 146KB)

PDFExample Letter of Attorney (PDF format: 195KB)

PDFExample Letter of Attorney for Corporate Subscribers (PDF format: 216KB)

Chinese

PDFLetter of Attorney (PDF format: 153KB)

PDFExample Letter of Attorney (PDF format: 178KB)

PDFExample Letter of Attorney for Corporate Subscribers (PDF format: 180KB)

Spanish

PDFLetter of Attorney (PDF format: 162KB)

PDFExample Letter of Attorney (PDF format: 211KB)

PDFExample Letter of Attorney for Corporate Subscribers (PDF format: 223KB)

Portuguese

PDFLetter of Attorney (PDF format: 152KB)

PDFExample Letter of Attorney (PDF format: 199KB)

PDFExample Letter of Attorney for Corporate Subscribers (PDF format: 205KB)


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