Image Use Request Form

Publisher

Organization

Representative Position

Representative

Address

Department In Charge

Person In Charge

Phone Number

Mail Address

Applicant

Same To Publisher

Organization

Person In Charge

Address

Phone Number

Mail Address

Details

Purpose

Publish Date

Summary

Usage Target

Original Provider

*Please attach an image of your request.

Images

Please upload images in JPEG format. You can attach up to three at a time. Image should be less than 2 MB.

Files

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Files

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I hereby apply with the understanding and compliance of the terms and conditions.

I will not use it for any purposes other than the stated objective.

As a reference, I will submit a portion of the relevant deliverables to the Kyoto Office of the Imperial Household Agency.

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