一trade name, other name or name, and address;

二in cases of a corporation, the name or other name of its officers (including, in cases of a foreign corporation, persons treated in the same manner under laws and regulations of a foreign state and the representative person in Japan; the same applies hereinafter in this Chapter);

三name and location of business offices or offices pertaining to the electronic payment instruments and cryptoasset intermediary services;

四in cases of a corporation, the amount of capital or contribution;

五categories of electronic payment instruments and cryptoasset intermediary services (meaning the categories of business pertaining to the acts set forth in the items of Article 2, paragraph (18); the same applies in Article 63-22-6, paragraph (1), Article 63-22-24, paragraph (2) and Article 107, item (xiv));

六the particulars specified in (a) or (b), depending on the category of cases set forth in (a) or (b):

イif the applicant carries out electronic payment instruments intermediary acts: the name of the electronic payment instrument handled and the trade name or name and address of the person that issues the electronic payment instrument;

ロif the applicant carries out cryptoasset intermediary acts: the name of the cryptoasset handled;

七the particulars specified in (a) or (b), depending on the category of cases set forth in (a) or (b):

イif the applicant carries out electronic payment instruments intermediary acts: the trade name of the electronic payment instruments service provider from which the applicant receives entrustment (hereinafter referred to as the "principal electronic payment instruments service provider" in this Chapter);

ロif the applicant carries out cryptoasset intermediary acts: the trade name of the cryptoasset exchange service provider from which the applicant receives entrustment (hereinafter referred to as the "principal cryptoasset exchange service provider" in this Chapter);

八details and means of the electronic payment instruments and cryptoasset intermediary services;

九if part of the electronic payment instruments and cryptoasset intermediary services is entrusted to a third party, the details of the business pertaining to the entrustment and the name or trade name or other name and address of the third party to whom the electronic payment instruments and cryptoasset intermediary services are entrusted;

十type of businesses, if the service provider conducts other businesses; and

十一other particulars specified by Cabinet Office Order.

一particulars set forth under the items of paragraph (1) of the preceding Article;

二date of registration and registration number.

一a person who falls under any of the following:

イa person that has not established a system for the provision of the electronic payment instruments and cryptoasset intermediary services in a proper and steady manner;

ロa person that has not established a system necessary for ensuring compliance with the provisions of this Chapter;

ハa person for whom the applicant's principal electronic payment instruments service provider or principal cryptoasset exchange service provider (hereinafter referred to as the "principal electronic payment instruments service provider, etc." in this Chapter and Article 88, item (i)) has not joined a certified association for payment service providers;

ニa person that intends to use a trade name or other name that is identical to the one currently being used by an electronic payment instruments service provider, a cryptoasset exchange service provider or another electronic payment instruments and cryptoasset intermediary service provider, or that may be misidentified as any of them;

ホa person who had their registration referred to in Article 62-3 revoked pursuant to the provisions of Article 62-22, paragraph (1) or (2), had their registration referred to in Article 63-2 revoked pursuant to the provisions of Article 63-17, paragraph (1) or (2), or had their registration referred to in Article 63-22-2 revoked pursuant to the provisions of Article 63-22-20, paragraph (1) or (2), or had the registration, permission or license of the same type in a foreign state (including other administrative dispositions similar to the registration, permission or license) revoked pursuant to the provisions of laws and regulations of the foreign state equivalent to this Act or the Banking Act, etc., and for whom five years have not elapsed from the date of the revocation;

ヘa person who has received an order to discontinue electronic payment instruments services pursuant to the provisions of Article 62-22, paragraph (1) as applied pursuant to Article 62-8, paragraph (2) following the deemed replacement of terms, or has received an order to discontinue the same type of services as electronic payment instruments services pursuant to the provisions of laws and regulations of a foreign state that are equivalent to this Act or the Banking Act, etc., and for whom five years have not elapsed from the date of the order;

トa person who has been punished by a fine (including a punishment pursuant to laws and regulations of a foreign state equivalent to this) for violating the provisions of this Act, the Financial Instruments and Exchange Act, the Banking Act, etc., the Act on Engagement in Trust Business by Financial Institutions, the Act Regulating the Receipt of Contributions, the Receipt of Deposits, and Interest Rates, or the Trust Business Act, or laws and regulations of a foreign state equivalent thereto, and for whom five years have not elapsed from the day on which the execution of the sentence ended or from the day on which the sentence ceased to be executed;

チa person whose other business is found to be against the public interest;

二in cases of a corporation, a person that falls under any of the following:

イa person that is a foreign corporation and does not have a representative person in Japan (limited to a person who is domiciled in Japan);

ロa person that has, among its officers, a person who falls under any of the following:

（１）a person specified by Cabinet Office Order as being unable to properly perform their duties pertaining to the electronic payment instruments and cryptoasset intermediary services due to a mental or physical disorder;

（２）a person who has not had their rights restored after receiving an order to commence bankruptcy proceedings, or a person equivalent thereto pursuant to laws and regulations of a foreign state;

（３）a person who has been sentenced to imprisonment or heavier punishment (including equivalent punishment pursuant to laws and regulations of a foreign state), and for whom five years have not elapsed from the day on which the execution of the sentence ended or from the day on which the sentence ceased to be executed;

（４）a person who falls under (g) of the preceding item;

（５）if an electronic payment instruments and cryptoasset intermediary service provider that is a corporation has had its registration referred to in Article 63-22-2 revoked pursuant to the provisions of Article 63-22-20, paragraph (1) or (2), or a corporation has had the registration of the same type in a foreign state (including other administrative dispositions similar to the registration) revoked pursuant to the provisions of laws and regulations of the foreign state equivalent to this Act, a person who was an officer of the corporation at any time during the thirty days prior to the date of the revocation and for whom five years have not elapsed from the date of the revocation, or a person specified by Cabinet Order as similar thereto.

三in the case of an individual, a person who falls under any of the following:

イan individual who has an address in a foreign country and has not appointed an agent in Japan;

ロa person who falls under any of (b), (1) through (3) or (5) of the preceding item;

ハa minor who does not have the same capacity to act as an adult with regard to electronic payment instruments and cryptoasset intermediary services, whose legal representative (including, where the legal representative is a corporation, its officers) falls under any of (b), (1) through (5) of the preceding item.