Foreign Currency Exchange Reservation

CURRENCY EXCHANGE RESERVATION FORM

Enter your visit and exchange details below. Staff will contact you to confirm the reservation; please bring your original valid identification document when visiting the store.

Customer and identity details

Full Name / 姓名 Nationality Date of Birth Occupation Residential AddressEnter your home address in Japan if you live in Japan; otherwise enter your permanent residential address, not a hotel address.

Are you a resident of Japan? / 是否在日本常住

YesNo

Identification Document Information

Customer status, ID document type and ID document number are required. The image is optional, but you must bring your original valid identification document when you visit the store for currency exchange.

Customer Status ID Document Type ID Document Number ID Document Image (Optional)No file chosenJPG, PNG or PDF. Maximum 8 MB.

Contact details

Email Address / 邮箱

Country / Region CodeSelect a country or region with its + calling code. WhatsApp / Phone NumberEnter your WhatsApp number. If you do not use WhatsApp, please enter your mobile phone number.Enter the local number without the international country code.

Preferred visit

Preferred Visit Date Preferred Visit Time (24-hour format)

Requested times are reviewed by staff. Submission does not confirm availability.

Transaction details

BUY JPY / SELL JPY

Large Exchange

YesNo

An exchange amount over JPY 300,000, or the equivalent in another currency, is considered a large exchange. Large exchanges must be booked in advance and are subject to review. Without advance booking, sufficient currency may not be available at the store.

Purpose of Exchange Source of Funds Additional Notes (Optional)

Service Purpose and Anti-Money Laundering Policy

Please confirm the lawful source of funds and the legitimate travel-related purpose of this currency exchange.

Panda Exchange provides foreign currency exchange services only for legitimate travel-related purposes. Customers must confirm that their funds come from a safe and lawful source. We do not accept business settlements, commercial activities, investment, money laundering, third-party funds or other non-travel purposes. Repeated or divided transactions may be reviewed, and additional identification or information may be requested.

Privacy and personal information

Please review how Panda Exchange collects, uses, stores and protects the personal information submitted with this reservation.

This request is not an automatic reservation confirmation. If confirmed, bring your original valid identification document when visiting the store.