consultation via Web form

*Please agree to the notes, fill in the required information, and submit the form.
Please refrain from using machine-dependent characters such as 1-byte katakana, ①, ②, and ㈱, as they may not be displayed correctly.

Please tell us about yourself

Please tell us about yourself. Contacting the off-campus counter (NEC VALWAY, Ltd.) and the university may be done anonymously.

University name
OptionalStudent number
OptionalAffiliation ① (Faculty/Graduate School, Department)
OptionalAffiliation ② (Department/Major)
RequiredDisclosure of your name to the university

Please give us your contact information (Contact information will not be disclosed to the university)

Please enter your email address so that we can send you a notification of acceptance.
If you would like the university to contact you regarding the results of the survey, please also inform us of the means by which you would like the university to contact you.
If your entry is incomplete, we may not be able to respond. In addition, it may take several days to receive a response.

Required Disclosure of your name to the off-campus counter
Required Email address
  • Please re-enter for confirmation.
  • If you are using a domain-specified receiving system,
    please make sure that you can receive both "@koueki-tsuhou.com" and "@dmsig.jp.nec.com".
    *A notification of acceptance will be sent to the email address you entered.
Required Whether the results of the investigation should be sent or not
Necessary

We will contact you at the email address you entered above.

Required phone
  • Please enter the phone number that can be directly connected to the person reporting/consulting.
    In addition, we will contact you from 0120-000-331 for the answer.
    Contact from the window is limited to Japan.
Required Address/Destination
Required Beneficiary name
  • Please make sure that the postal code, street address (branch number), building name, and room number are complete.
    Also, be sure to enter the name of the recipient.
    Mailing addresses are limited to addresses within Japan.

What would you like to discuss?We will report what you entered directly to the university

Please tell us as much detail as possible about what you consider to be the problem, including "what happened" and "who did it".

Consultation

Required Consultation Category
OptionalOccurrence time
OptionalOccurrence place

If you choose "Other," please enter the specific place in the "Details of consultation" field.

OptionalRecognition time
Required Details of consultation
Required Request to the university
Required Recognition of the surroundings
Required Evidence
  • *The evidence will be submitted to the university as it is. If you wish to remain anonymous, please make sure that your information is not included.
Required Attached file
  • Before uploading files, please mask any personally identifiable information if you wish to remain anonymous. The attached files will be submitted to the university as it is.
  • The maximum size of the attachment (total of all files) is 10 MB. To attach multiple files, hold down the [Ctrl] key while selecting files.
Reset attachments

The supported files that can be attached are jpg/jpeg/gif/pdf/png.

Who did that?

Please tell us about someone who has done or seems to have done something you consider problematic.
If you don’t enter, we may not be able to investigate.

OptionalUniversity name
OptionalDepartment
OptionalJob Title
OptionalName

  • If you agree to the notes, please check the "Agree" and click the " Confirmation of your entry" button.

1.Protection of consulters

  • The contents of consultation will be kept strictly confidential by those involved in the response
  • You can choose the extent to which your real name is disclosed
Real name disclosure patterns To the university To the off-campus counter
Completely anonymous Anonymous Anonymous
Real names disclosed only to the off-campus counter Anonymous Real name
Completely real name Real name Real name

*In order to ensure that the university's communications, confirmations, investigation results, etc. are accurately conveyed, we ask you to disclose your real name to the off-campus counter as much as possible

  • You will not be treated unfavorably by the university as a result

2.Handling of Personal Information

  • The information you provide will be used to investigate harassment.
  • Personal information of consulters will be properly managed and operated in accordance with the Personal Information Protection Policy

3.Notes when consulting

  • You may not get a university response to your consultation
    e.g.
    • If it doesn’t fall under the "contents that can be consulted"
    • If the university decides not to accept
  • It may take 1 to 2 business days for the consultation to be linked to the university
    In addition, we are unable to respond to the following requests
    e.g.
    • I want you to tell that to the university right now
    • I want an answer by the end of tomorrow
    • I want to be contacted immediately (by ○) by the person in charge
  • Responses to consultation, and inquiries received on Sundays, national holidays, year-end and New Year holidays, and holidays when this office is closed will be made on the next business day or later

4. Personal information contained in identification documents

  • Text data, URLs, voice data, and other data used for identification will be directly submitted to the university as they are
  • If you wish to consult anonymously, please process the information contained in the identification documents that identifies the consulter before submitting them
    *In many cases, personally identifiable information is included in email addresses and signatures

5.About the off-campus counter

  • The off-campus counter is operated by NEC VALWAY, Ltd. as a third-party organization This is not a contact point established within the university
  • The off-campus counter does not provide the following services
    • a.Investigation of consultation
    • b.Determining whether it constitutes harassment, etc.
    • c.Various types of advice (e.g. whether it is better to consult with public institutions regarding future actions)

[Role of the off-campus counter]

  • Receiving consultation from everyone and link them to the university
  • Providing you with confirmations and answers from the university
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