「雇用状況の届出」に必要な在留カードに記載されている在留資格情報の提供に同意し、下記の通り、届出いたします。

I agree to provide my Residential Card Information to Adecco so as for them to properly file the “Notification on the Employment Status of Non-Japanese Workers” with the public job placement offices called “Hello Work” as required by the Ministry of Health, Labor, and Welfare.