Non-Legal Application Form｜DNA JAPAN INC.

　Non-Legal Paternity Test Application

DNA TEST TYPE

FATHER, MOTHER & 1 CHILD 40,000¥
FATHER AND 1 CHILD 40,000¥
MOTHER AND CHILD 40,000¥

ADDITIONAL PARTICIPANTS

None
1 PARTICIPANT　＋12,000¥
2 PARTICIPANTS 　＋24,000¥
3 PARTICIPANTS　＋36,000¥

BLOOD TYPE GENETIC TESTING

NO NEED
CHILD　＋ 8,000¥　
CHILD and FATHER or MOTHER　＋16,000¥
CHILD and FATHER and MOTHER　＋24,000¥

REPORT TYPE

EMAIL REPORT 0¥
POST MAIL REPORT 0¥
INSPECTION CERTIFICATE (MAILED) ＋50,000¥

TOTAL (without TAX)

0¥

Applicant's Name

Email Address

Please retype your Email Address to confirm

Relationship to Participant

Participant (itself)
Lawyer
Relative

　※Third Party Application is not possible

Address

Phone Number

　※where we can contact you

Comments:
Required Confirmation: Please check if the information is correct.

Handling Personal Information

Personal information submitted to us is used for application and verification purposes.
In addition, all information is handled based on the "Personal Information and Protection Law" and the company privacy policy.
The data transmitted to this email system are protected by encrypted communication.