Japan Benefits Study Application Form　参加申込書

Thank you for your participation in the Aon’s Japan Benefits Study.

この度は、弊社Japan Benefits Studyにご参加いただきありがとうございます。

Please submit this form.

お手数ですが、下記必要情報を入力の上お申し込みください。

Contact　貴社担当様情報

Please provide details of individual responsible for providing information and clarification on study data.

本調査に関する貴社担当者様の情報を記載ください。

Company Name 会社名： First name 名: Last name 姓: Department　部署名： Phone　電話番号： E-mail　メール： Country
Please indicate the type which you would like to participate.
ご希望される参加方法をお選びください。

Participation Type ご希望される参加方法	Our Deliverable 弊社からの提供資料	Fee (before tax) 金額 (税抜)
No submission of questionnaire　& Purchase Full Report データ提出なし、フルレポートの購入	Full Report フルレポート	JPY 500,000
Provide Data & Purchase Full Report データ提出の上、フルレポートの購入	Full Report フルレポート	JPY 250,000
Provide Data Only データ提出のみ	Summary Report サマリーレポート	Free　無料

We will participate in Aon’s Japan Benefits Study.
エーオンが実施するJapan Benefits Studyに申し込みます。 Date　日付： (mm/dd/yyyy)
Japan Benefits Study Participant Agreement
Terms and Conditions
The entity requesting the services ("Client") agrees to participate in and submit data for 2021 Japan Benefits Study (the “Study”) no later than 30 June, 2021. Client agrees to submit on-time, complete and accurate data (the "Data") according to the input requirements for each Study.

Aon Solutions Japan Ltd. ("Aon ") shall treat all Clients identifiable Data submitted to Aon as confidential. Notwithstanding the foregoing, Client agrees that (a) Client may be listed in the results of the Study (the “Results”) as a study participant and (b) any non-identifiable Data may be used by Aon to produce the Results.

The Results are copyrighted by Aon. Client is granted a limited license to use the Results for Client's personal and internal business purposes only, upon the following terms and conditions: (a) Client will not sell, assign, rent, lease, distribute, export, import, act as an intermediary or provider, or otherwise grant rights to third parties (including contractors, consultants, etc.) with regard to the Results or any part thereof; (b) Client will not undertake, cause, permit or authorize the modification, creation of derivative works, translation of the Results or any part thereof; and (c) Client agrees that Client will not remove, obscure, make illegible or alter any notices or indications of the intellectual property rights and/or Aon’s rights and ownership thereof, whether such notice or indications are affixed on, contained in or otherwise connected to any Results. Client is granted a license to copy the Results for Client's internal use only. Client agrees that any portion of the Results that are copied, reproduced, distributed, downloaded, posted or transmitted in any form or by any means, including, but not limited to, electronic, photocopying, or otherwise, for the use of any third parties (including contractors, consultants, etc.), shall (i) be used only in connection with services being performed on behalf of Client, and (ii) be returned to Client upon completion of such services. Client agrees that neither Aon nor any of its respective affiliates, agents or representatives shall have any liability to Client relating to or resulting from the use or reliance upon the Results. Aon reserves the right to suspend or cancel the Study at its discretion.

Client further acknowledges and agrees that (a) Aon may use the Data in combination with other data for statistical or analytical purposes provided that no such Data identifies Client or Client’s employees; and (b) Aon may transfer, process or store the Data provided by Client in connection with the Study globally, including destinations outside the jurisdiction(s) in which the Data is collected by Aon, other Aon group companies or Aon’s affiliates third parties engaged to provide services or support to Aon. By submitting the Data in connection with the Study, Client agrees to such transfers, processing and storage of the Data, and acknowledge that Client has received all authorisations from any individuals necessary for such disclosure.

Aon and other Aon group companies will use your personal information to contact you from time to time about other products, services and events that we feel may be of interest to you. All personal information is collected and used in accordance with our Privacy statement.

I agree with the terms and conditions stated above.

Japan Benefits Study Application Form 参加申込書

Japan Benefits Study Application Form　参加申込書