JP3137066U - Personal information presentation record - Google Patents

Abstract

An object of the present invention is to provide a personal information presentation record that also serves as a memorandum for recording documents, cards, and the like on which personal information is described.
The personal information presentation record is entered in the record column 14 of the record sheet, the date of presentation column 16 when the personal information is recorded or recorded, etc. A column 21, a record content entry column 22, and a presentation destination entry column 18 are provided. It is more preferable to additionally provide a seal stamping column 20 for marking the stamp of the presentation destination, a presentation purpose entry column 17, and a number of copies entry column 23 in the presentation destination entry column. It may be filled in on the spot like a notebook, or printed one by one on the spot and handed over as a personal information record storage certificate.
[Selection] Figure 1

Description

  The present invention provides personal information that also serves as a memorandum to record when, what purpose, where, and what kind of document was presented when presenting or recording a document or the like in which personal information is recorded or recorded It is about the presentation record.

Personal address, name, age, gender, occupation, school of origin, income, assets, and other personal information are frequently abused and become a serious social problem.
For example, the postcard for confirmation of the exercise of shareholder voting rights contains information such as the sender's address, name, and the number of shares held, and there is a risk of personal information being stolen. It is necessary to strictly manage postcards. Therefore, a postcard for preventing such personal information leakage has been proposed (Patent Document 1).

This personal information leakage prevention postcard is a postcard in which a second paper piece is bonded to the front or back surface of the first paper piece, and on the second paper piece, information for identifying an individual is displayed. A slit is formed around the portion, and the display portion is configured to be peelable from the first piece of paper by the slit.
JP 2005-88261 A.

What has been described as the background art is intended to prevent leakage of personal information described in a postcard.
However, a driver's license or health insurance card may be presented for identification, a passport may be presented for foreign travel, and a copy may be sent if necessary. There have also been many reports of fraudulent use and counterfeiting when shopping with a credit card.
Although such unauthorized use or misuse is due to leakage of personal information, it is often unclear when and where it was leaked. When presenting a document or the like on which a document has been recorded or recorded, there has never been a record of recording.
The present invention is a memorandum for recording when and for what purpose and what kind of document was presented when presenting a document with personal information or a card with personal information recorded. The purpose is to provide a personal information presentation record that also serves as a personal information.

The personal information presentation record copy according to the present invention is a record date on the record sheet, a date entry column when the personal information is recorded or recorded, etc. It is characterized by a content entry column and a presentation destination entry column.
It is more preferable to additionally provide, in the presentation destination entry column, a seal stamping column for marking the presentation destination seal, a presentation purpose entry column, and a presentation number entry entry column.
The recording sheet can be formed into a notebook type in which a plurality of sheets are pre-stitched and recorded in each column for each presentation certificate.

According to the first aspect of the invention, the first cover sheet and the second and subsequent recording sheet are bound in a notebook-type portable notebook size. The title, the owner's address and name are listed below, and the title and page number fields of the personal information presentation record are provided at the top of the record sheet. Located at the bottom, there is a record field. This record field has a serial number field on the left side, a date entry field, a presentation destination field, a presentation certificate etc. field, and a title field on the right side of the serial number field. Since the record contents entry field is provided, when presenting a document with personal information or a card with personal information recorded, record what time, what purpose, where and what kind of document was presented. Can serve as a stepping stone to elucidate unauthorized use and counterfeiting, It is possible to suppress the sloppy management in presenting destination. Further, since the recording sheet is a notebook type in which a plurality of recording sheets are bound in advance and recorded in each column for each presentation certificate, etc., and formed in a portable notebook size, it can be carried without being scattered.

According to the invention described in claim 5, the date of presentation column, the column for the purpose of presentation, the type of presentation certificate, etc. when the personal information is recorded or recorded in the recording column of the record sheet. Etc., a record content entry field, and a presentation destination entry field are provided, so the purpose of presenting the presentation certificate etc. becomes clear.

In the first embodiment of the personal information presentation recording tape according to the present invention, a notebook type is formed by binding a cover sheet on a plurality of recording sheet papers. In the upper part, a title field and a page number field of “personal information presentation record” are provided, and a recording field is provided below the title field.
In this record field, a serial number field is provided on the left side, and a presentation date entry field, a presentation purpose entry field, a presentation destination entry field, and a title field record content entry field are provided in two stages on the right side.

In the presentation date entry field, “year, month, day” in which personal information is presented is entered. You may make it fill in time as needed.
In the presentation purpose entry column, the relevant presentation purpose is checked or entered. For example, if it falls under any of “identification”, “foreign trip”, “buy / sell”, or “loan”, put a check in the box, and fill in “other ()” if it does not fall under either.
In the presentation destination entry column, a presentation destination such as the presented company name, organization name, store name, etc., the affiliation name of the presentation destination, and the name of the person in charge are entered. Although the presenting person may fill in the presentation destination entry field and the seal stamping entry field, it is preferable to have the person in charge at the presentation destination fill in directly or press a rubber stamp.

In the entry column for the presentation certificate etc., check or fill in the corresponding presentation certificate. For example, if it falls under any of “Automobile driver's license”, “Health insurance card”, “Passport”, “Resident card”, or “Cards”, put a check in the square frame, Fill in “Others ()”. Others include personal information written or recorded such as “seal certificate” or “proxy”.
In the record content entry column, the corresponding record content is checked or entered. For example, if any of “Copy”, “Number Copy”, “Browsing”, “Sending (by mail, FAX, etc.)” or “Reading (of cards)” is checked, put a check in the box and If is not applicable, fill in “Other ()”. In the copy number entry field 23, the number of copies, the number of copies, etc. are entered.

In FIG. 2, the personal information presentation record according to the present invention is preferably notebook-sized and has a notebook size that can be easily carried.
Reference numeral 10 denotes a cover of a personal information presentation record according to the present invention. On the cover 10, the title of “personal information presentation record”, the owner's address and name, as well as a telephone number, etc. are written as necessary.

FIG. 1 shows a recording sheet 11 bound to the second and subsequent sheets. The recording sheet 11 is provided with a title column 12 of “personal information presentation recording copy” and a page number column 13 of “NO.” At the top.
A recording field 14 is provided below the title field 12 and the page number field 13. The recording column 14 is provided with a serial number column 15 on the left side, and a presentation date entry column 16, a presentation purpose entry column 17, a presentation destination entry column 18 and a presentation certificate etc. entry column 21 on the right side of the serial number column 15 in the figure. The title column record content entry column 22 is provided in two stages.

In the presentation date entry column 16, “year, month, day” presenting personal information is entered. You may make it fill in time as needed.
In the presentation purpose entry column 17, the relevant presentation purpose is checked or entered. For example, if it falls under any of “identification”, “foreign trip”, “buy / sell”, or “loan”, put a check in the box, and fill in “other ()” if it does not fall under either.
In the presentation destination entry column 18, the presentation destination such as the presented company name, organization name, and store name, the affiliation name of the presentation destination, and the name of the person in charge are entered. Although the presenting person may fill in the presentation destination entry field 18 and the seal stamping field 20, it is preferable to have the person in charge of the presentation directly fill in or press a rubber stamp.

In the entry column 21 for the presentation certificate etc., the corresponding presentation certificate is checked or entered. For example, if it falls under any of “Automobile driver's license”, “Health insurance card”, “Passport”, “Resident card”, or “Cards”, put a check in the square frame, Fill in “Others ()”. Others include personal information written or recorded such as “seal certificate” or “proxy”.
In the record content entry column 22, the corresponding record content is checked or entered. For example, if any of “Copy”, “Number Copy”, “Browsing”, “Sending (by mail, FAX, etc.)” or “Reading (of cards)” is checked, put a check in the box and If is not applicable, fill in “Other ()”. In the copy number entry field 23, the number of copies, the number of copies, etc. are entered.

  The recording column 14 as described above is repeatedly provided in a number of stages in the recording sheet 11 with the serial number in the serial number column 15.

The personal information presentation record configured as described above should be brought when presenting the presentation certificate, etc., check the necessary parts, fill in the necessary parts, the presentation date, the presentation name, the person in charge The person's name, etc. is entered directly by the person or, if possible, the person in charge at the presentation destination should enter and seal it.
For example, for a trip abroad, when you present your passport and make a copy at a travel agency, enter the date in the date column 16 and check “Foreign trip” in the purpose column 17 Check “Passport” in the certificate entry field 21, check “Copy” in the record contents entry field 22, enter the number of copies in the number of entries field 23, and the destination name and the person in charge in the destination field 18 The person's name, etc. is entered directly by the person or, if possible, the person in charge at the presentation destination should enter and seal it. When making a “copy”, it is desirable to use paper that cannot be re-copied.

In the first embodiment, a plurality of specific examples are entered in the presentation purpose entry field 17, the presentation certificate etc. entry field 21, and the record content entry field 22 in the recording field 14 of the recording slip sheet 11, and However, the present invention is not limited to these examples, and more or less examples may be provided, which may be entered. The entry purpose entry field 17, the presentation certificate entry field 21, and the record content entry field 22 are all filled in when the personal information is presented as blank or printed when the preservation certificate is issued. Also good.

It is a partial top view which shows Example 1 of the recording paper of the personal information presentation recording paper by this invention. It is a top view which shows the example of the cover of the personal information presentation recording allowance used for Example 1. FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 ... Cover, 11 ... Recording slip sheet, 12 ... Title column, 13 ... Page number column, 14 ... Recording column, 15 ... Serial number column, 16 ... Presentation date entry column, 17 ... Presentation purpose entry column, 18 ... Presentation destination entry Column, 20 ... seal stamping column, 21 ... entry column for presentation certificates, etc., 22 ... record content entry column, 23 ... number of copies entry column.

Claims (6)

  In the record column of the record sheet, there will be a column for presenting date when presenting personal information or recorded presentation certificates, etc. A personal information presentation record.   2. The personal information presentation record according to claim 1, wherein a seal stamp column for stamping a seal at the destination is provided in the column for entering the destination.   When presenting personalized information or recorded presentation certificates, etc. in the recording column of the record sheet, the date of presentation column, the column for the purpose of presentation, the column for the presentation certificate, etc. Personal information presentation record with a pre-filled column.   4. The personal information presentation record copy according to claim 1, wherein a copy number entry field is provided in the record content entry field for entering the number of copies to be presented such as a presentation certificate.   5. A personal information presentation record copy according to claim 1, wherein a plurality of recording slip sheets are bound in advance and formed into a notebook type for recording in each column for each presentation certificate.   5. The personal information presentation record according to claim 1, wherein a record sheet is printed in each column for each presentation certificate, etc. and issued as a personal information record storage certificate one by one. Deduction.

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