Create a new account Please enter the mandatory information to the form below. Name Company name If shipping address is company First Name * First name First name must be at least 1 characters e.g. Taro Last name * Last name Last name should be more than 1 characters. e.g. Japan Email Address * Email address Incorrect email address e.g. taro@example.com Password * Password Password should be more than 4 characters.Password safety: Re-enter your password * Password Password should be more than 4 characters. GenderMale Female Terms of use *Please read the following terms and conditions.These are the terms of use ("Terms of Use") for your use of services or features on the sites owned and controlled by Asian Portal Co., Ltd ("Asian Portal "), including shop.discovery-japan.me, (the "Sites"). We may add additional Sites from time to time as we expand our offerings and these Terms of Use will govern those new Sites when added. You may be accessing our Sites from a computer or mobile phone device (through an iPhone application, for example) and these Terms of Use govern your use of our Sites and your conduct, regardless of the means of access. We also like to interact with you on third party sites where we post content or invite your feedback, such as https://www.facebook.com/JapanFishingshop/, ("Third Party Sites"). Our Terms of Use and other areas of our Sites provide guidelines ("Guidelines") and rules and regulations ("Rules") in connection with our Interactive Services, including services that involve Third Party Sites, but Asian Portal does not control those Third Party Sites, and these Terms of Use, our Guidelines and our Rules do not apply to companies that Asian Portal does not own or control, or to the actions of people that Asian Portal does not employ or manage. You should always check the terms of use posted on Third Party Sites. By using the Sites, you signify your agreement to these Terms of Use, our Privacy Policy and our Guidelines and Rules, whether or not you have read them. If you do not agree with any of these, you should not use our Sites. Asian Portal reserves the right to change or modify any of the terms and conditions contained in the Terms of Use, Guidelines and Rules from time to time at any time, without notice, and in its sole discretion. If Asian Portal decides to change these Terms of Use, Asian Portal will post a new version on the Sites and update the date set forth above. Any changes or modifications to these Terms of Use, Guidelines or Rules will be effective upon posting of the revisions. Your continued use of the Sites following posting of any changes or modifications constitutes your acceptance of such changes or modifications and if you do not agree with these changes or modifications, you must immediately cease using the Sites. For this reason, you should frequently review these Terms of Use, our Guidelines and Rules and any other applicable policies, including their dates, to understand the terms and conditions that apply to your use of the Sites. 1. Copyright All design, text, graphics, logos, button icons, images, audio and video clips, the selection and arrangement thereof, and all software on the Sites is Copyright (c) 2014 Asian Portal Co., Ltd, ALL RIGHTS RESERVED. The compilation (meaning the collection, arrangement and assembly) of all content on the Sites is the exclusive property of Asian Portal and protected by Japan and international copyright laws. All software used on the Sites is the property of Asian Portal or its software suppliers and is protected by Japan and international copyright laws. Permission is granted to electronically copy and to print in hard copy portions of the Sites for the sole purpose of placing an order with Asian Portal , using the Interactive Services or using the Sites as a shopping resource. Any other use of materials on the Sites - including reproduction for purposes other than those permitted above, modification, distribution, republishing, transmission, display or performance - without the prior written permission of Asian Portal is strictly prohibited. 2. Trademarks shop.discovery-japan.me, and all page headers, custom graphics and button icons are service marks, trademarks, and/or trade dress of Asian Portal and may not be used in connection with any product or service that is not offered by Asian Portal in any manner that is likely to cause confusion among customers, or in any manner that disparages or discredits Asian Portal . All other trademarks, product names and company names or logos cited herein are the property of their respective owners. 3. Product Information The products displayed on the Sites can be ordered and delivered worldwide. If any minor uses any goods or product from Asian Portal it should be only after the legal or parental guardian has discussed the product with the minor's doctor. Reference to any products, services, processes or other information by trade name, trademark, manufacturer, supplier or otherwise does not constitute or imply endorsement, sponsorship or recommendation thereof by Asian Portal . All material and information presented by Asian Portal is intended to be used for personal educational or informational purposes only. The statements made about products have not been evaluated by any laboratory accredited by the Japan Accreditation Services and the results reported, if any, may not necessarily occur in all individuals. The statements and products are not intended to diagnose, treat, cure or prevent any condition or disease. All products should be used strictly in accordance with their instructions, precautions and guidelines. The products available on the Sites and the Interactive Services, including any samples Asian Portal may provide to you, are for your personal use only. Asian Portal reserves the right, with or without notice, to cancel or reduce the quantity of any order to be filled or products to be provided to you that may result in a violation of these Terms of Use, as determined by Asian Portal in its sole discretion. 3-1.Product Descriptions Asian Portal endeavors to maintain accuracy of information in as much as possible. However, Asian Portal does not guarantee the accuracy, completeness, or reliability of product descriptions or any other content published on the Site, or that they are the most up-to-date and contain no mistakes. If a product purchased on Asian Portal is found to be not as described, customers are requested to return said product in an unused condition. Refunds are the only mitigation available from the Site if product descriptions are found to be inaccurate. 3-2.Product Prices Unless otherwise stated, the amounts displayed on the price field on the Site are the prices that are widely announced by manufacturers, etc. to consumers (known generally as the manufacturers’ suggested retail price, which are displayed on product packaging, catalogs, etc.), or the prices that are widely announced to retailers (known generally as the suggested retail price, etc.). The price field displays the sale price of the products available on the Site. The prices shown on the Site for products sold by sellers other than Asian Portal may be based on information supplied by those sellers. The Site generally displays two prices per product. If one of them has been crossed out, the crossed-out amount is the suggested retail price and the other one is the actual product price. If there is only one price shown, that price constitutes the actual product price. The Site does its utmost best to display accurate product information. If a product is displayed with an incorrect price, price adjustments shall be made as follows: If the product's correct price is lower than the price displayed on the Site, customers shall be charged the lower price. If the product's correct price is higher than the price displayed on the Site, Asian Portal shall inform the customer to this effect, at its own discretion, before dispatching their order. The customer shall then be asked to indicate whether they wish for the product to be shipped based on the new price, or whether they wish to cancel the order. Please note that the above policy applies only to products sold by Asian Portal . Third parties that sell products on the Site may make price adjustments based on different policies. 4.Color Information While Asian Portal has tried to accurately display the colors of products, the actual colors you see will depend on your monitor and may not be accurate. Responsibility for your Content You are solely responsible for all content that you upload, post, email or otherwise transmit via or to the Sites, through our Interactive Services or otherwise, including the submission of product ratings and reviews and all other data, profile information, documents, text, software, applications, music, sound, photographs, graphics, video, messages, ratings, forum postings, comments, questions, answers or other materials (collectively, "Content"). We will not accept Content from you unless you are a registered user of the Sites. 5.Your Use of Content on the Sites and Limitation of Liability Asian Portal provides the Sites and the Interactive Services and all other applications and services on the Sites as a forum only. Asian Portal is not liable for any statements, representations, or Content provided by its users in any public forum on the Sites or any Third Party Site, including without limitation through the Interactive Services. Any Content, if displayed, is displayed for entertainment and informational purposes only. More generally, Content posted via or on the Sites or any Third Party Site, including through the Interactive Services, is not controlled by Asian Portal . Asian Portal cannot guarantee the accuracy, integrity or quality of such Content. You understand that by using the Interactive Services, you may be exposed to Content that may be offensive, indecent or objectionable and Asian Portal shall not be liable for any such Content and that the risk of harm or damage from the foregoing rests entirely with you. Under no circumstances will Asian Portal be liable in any way for any Content, including, but not limited to, for (i) any errors or omissions in any Content; or (ii) any loss or damage (including, without limitation, personal injury or property damage) of any kind incurred as a result of the use of any Content posted, emailed or otherwise transmitted via or to the Sites or through the Interactive Services. You may access the Content and any other content on the Sites only as permitted under these Terms of Use and the Privacy Policy and you agree to not engage in the use, copying or distribution of any of the Content other than as expressly provided herein. You agree not to circumvent, disable or otherwise interfere with security-related features of the Site or features that prevent or restrict use of any Content or enforce limitations on use of the Site or the Content therein. You may not interfere with or disrupt the Sites, or servers or networks connected to the Sites, or disobey any requirements, procedures, policies or regulations of networks connected to the Sites, including by using any device, software or routine to bypass robot exclusion headers. Asian Portal reserves all rights not expressly granted in and to the Content. When using the Interactive Services, you may not disrupt the normal flow of dialogue, cause a screen to "scroll" faster than other users are able to type, or otherwise act in a manner that negatively affects other users' ability to engage in real time exchanges. 6.Your Content Submissions By submitting Content to Asian Portal , you represent and warrant that: You understand you are participating in a public forum and that your Content will be available to all other users of the Sites, the Interactive Services and potentially Third Party Sites; You are the sole author and owner of the intellectual property and other rights thereto (or have the necessary licenses, rights, consents and permissions to use and authorize Asian Portal to use all intellectual property and other rights thereto to enable inclusion and use of the Content in the manner contemplated by the Sites and these Terms of Use); All "moral rights" that you may have in such Content have been voluntarily waived by you and you do not require that any personally identifying information be used in connection with the Content that you submit, or any derivative works of or upgrades or updates thereto; 7.All Content that you post is accurate; You are at least 18 years old and, if you are a minor, that you have obtained the consent of your parent or legal guardian to use the Site and agree to these Terms of Use; and that " use of the Content you supply does not violate these Terms of Use and will not cause injury to any person or entity. You also represent and warrant that any Content you submit: Is not false, inaccurate or misleading; 8.Applicability of these Terms and Conditions When a customer places an order on the Site, an electronic communication titled "Order Confirmation" is sent from the Site, confirming receipt of the order and providing detailed information about the purchased products. A product order represents a customer's request to sign up to these Terms and Conditions with regard to the purchase of those products. Regardless of the payment method or delivery option chosen, when a customer places an order for products sold by Asian Portal , the customer's request to sign up to these Terms and Conditions shall be approved, and hence these Terms and Conditions shall be applicable, from the moment. 9.Returns and Refunds The relevant department shall process refunds for any return requests made by customers. The time required to complete the refund process, from the time that the products are received, will vary depending on the workload of the team dealing with returns, as well as the payment method originally chosen to pay for the order. Please see our information on refunds for more details. Once the refund process is complete, customers shall be informed to this effect via electronic communication. However, no interest shall be paid in relation to the amount refunded by Asian Portal . 10. Ownership Transfer and Risk of Loss of Products Regardless of the payment method or delivery option chosen, ownership of all products purchased on Asian Portal shall be transferred to the customer when the products are handed over to the delivery company. If products are lost before arriving at their destination, due to the delivery company acting negligently or in bad faith, the Site shall not be responsible for such loss. 11.Does not harm minors; Does not infringe any copyright, patent, trademark, trade secret or other proprietary rights or rights of publicity or privacy of any person or entity; Does not violate any obligations you may have with respect to such Content under any law or under contractual or fiduciary relationships (such as, but not limited to, inside information, proprietary and confidential information learned or disclosed as part of employment relationships or under nondisclosure agreements); Does not violate any law, statute, ordinance or regulation (including, but not limited to, those governing export control, consumer protection, unfair competition, anti-discrimination or false advertising); Is not, or would not reasonably be considered to be, unlawful, harmful, defamatory, libelous, vulgar, obscene, invasive of another's privacy, hateful, racially or religiously biased or offensive, abusive, tortious, threatening or harassing to any individual, partnership or corporation; Is not submitted for compensation or other consideration from any third party; " does not include any information that references other websites, addresses, email addresses, contact information or phone numbers; Complies in all respects with these Terms of Use, our Privacy Policy and all Guidelines and Rules; Is not unsolicited or unauthorized advertising, promotional materials, "junk mail," "spam," "chain letters," "pyramid schemes," or any other form of solicitation; and Does not contain any computer viruses, worms or other potentially damaging computer programs or files. Asian Portal does not endorse any Content or any opinion, recommendation or advice expressed therein, and Asian Portal disclaims all liability with respect to the Content. If your Content includes ideas, suggestions, documents or proposals to Asian Portal through the Interactive Services, (a) such Content is not confidential or proprietary and Asian Portal has no obligation of confidentiality, express or implied, with respect thereto; (b) Asian Portal may have something similar to that Content already under consideration or development; and (c) you are not entitled to compensation, payment or reimbursement of any kind for such Content from Asian Portal under any circumstances unless you are otherwise notified by Asian Portal in writing. For any Content that you submit, you grant Asian Portal a worldwide, perpetual, irrevocable, royalty-free, sublicensable and transferable right and license to use, reproduce, communicate, distribute, copy, modify, delete in its entirety, edit, adapt, publish, translate, publicly display, publicly perform, use, create derivative works from and/or sell and/or distribute such Content and/or incorporate such Content into any form, medium or technology whether now or hereafter known throughout the world without compensation to you. This license will survive the termination of these Terms of Use and your use of the Site. 12.Guidelines for Interactive Services We want to know what you think of the products you've tried, bought, know and love and we encourage you to use our Interactive Services. When writing a review for our products, please consider the following guidelines: Focus on the product and your individual experience using it Provide details about why you like or dislike a product; and All submitted reviews, comments and questions are read by our moderators and are subject to these Terms of Use. You may not use our Interactive Services to impersonate any person or entity, including, without limitation, any Asian Portal official, forum leader, guide or host, or to falsely state or otherwise misrepresent your affiliation with a person or entity. You may not use the Interactive Services to collect or store personal data about other users. As noted above, Asian Portal reserves the right to not post a review or to withdraw a posted review for any reason. Your review will be excluded if it violates Guidelines or the provisions in these Terms of Use regarding submission of Content generally. 13.Third Party Content and Third Party Sites Asian Portal may provide content of third parties ("Third Party Content") or links to Third Party Sites as a service to those interested in this information. Asian Portal does not monitor, approve or have any control over any Third Party Content or the Third Party Sites and the inclusion of links to Third Party Content or Third Party Sites does not imply any association or relationship between Asian Portal and such third party. Asian Portal does not guarantee, endorse or adopt the accuracy or completeness of any Third Party Content or any Third Party Site. Asian Portal is not responsible for updating or reviewing Third Party Content or Third Party Sites. You use Third Party Content and Third Party Sites at your own risk. Third Party Content, including comments from third party users submitted to Asian Portal through the Interactive Services, do not necessarily reflect the views of Asian Portal . 14.Mobile Services If you access the Sites via your mobile phone (through an iPhone application, for example), we do not currently charge for this access. Please be aware that your carrier's normal rates and fees, such as text messaging fees or data charges, will still apply. 15.Modification of Content All Content that you submit is not confidential and may be used at Asian Portal 's sole discretion. Asian Portal may or may not pre-screen Content. However, Asian Portal and its designees will have the right (but not the obligation) in their sole discretion to pre-screen, change, condense or delete any Content on the Sites. In particular, Asian Portal and its designees will have the right to remove any Content that Asian Portal deems, in its sole discretion, to violate the Guidelines, or any other provision of these Terms of Use or is otherwise objectionable. Asian Portal does not guarantee that you will have any recourse through Asian Portal to edit or delete any Content you have submitted. Asian Portal reserves the right to incorporate any Content you have submitted into any account you may have, now or in the future, as a registered user of the Sites. Ratings, written comments, questions and answers are generally posted within two to four business days. However, Asian Portal reserves the right to remove or to refuse to post any submission for any reason. You acknowledge that you, not Asian Portal , are responsible for the contents of any Content you submit. None of the Content that you submit shall be subject to any obligation of confidence on the part of Asian Portal , its agents, subsidiaries, affiliates, partners or third-party service providers and their respective directors, officers and employees. 16.Reservation of Rights Asian Portal reserves the right, at any time, without notice and in its sole discretion, to terminate your license to use the Interactive Services and the Sites and to block or prevent your future access to and use of the Interactive Services and the Sites. Asian Portal may access, preserve and disclose your account information and Content if required to do so by law or in a good faith belief that such access, preservation or disclosure is reasonably necessary to (i) comply with legal process; (ii) enforce these Terms of Use, (iii) respond to claims that any Content violates the rights of third parties, (iv) respond to your requests for customer service, or (v) protect the rights, property or personal safety of Asian Portal (and its employees), its users and the public. 17.Disclaimer Asian Portal , and all information, content, materials, products, and any services that can be used by customers through Asian Portal and the Site, are provided by Asian Portal on an "as is" and "as available" basis, unless otherwise specified in writing. Asian Portal provides no declarations or guarantees whatsoever, express or implied, as to the operation of Asian Portal , or the information, content, materials, or products published on the Site or Asian Portal , unless otherwise specified in writing. Customers are deemed to have agreed explicitly to use of the Site and Asian Portal at their own risk. To the full extent permissible by the applicable laws, Asian Portal provides absolutely no guarantees whatsoever, express or implied, including, but not limited, to implied warranties of merchantability and fitness for a particular purpose. Asian Portal does not guarantee that Asian Portal , or any information, content, materials, products, or services included in or otherwise made available through Asian Portal or other services, its servers, or electronic communications sent by Asian Portal , are free of viruses or other harmful components. Asian Portal shall not be liable for any damages whatsoever arising from the use of Asian Portal , including, but not limited to direct, indirect, incidental, punitive, or consequential damages. Asian Portal shall be responsible for personal or physical losses or damages caused to customers by products sold through Asian Portal up to the full cost of the products purchased, only if Asian Portal is found to have been negligent. However, some jurisdictional laws do not allow exclusions or limitations on implied warranties or certain types of damages. If these laws were to apply to a customer, some or all of the above disclaimers, exclusions, or limitations may not be applicable to the customer, and the customer may also have additional rights. 18.Indemnification You agree to defend, indemnify and hold harmless Asian Portal (and its officers, directors, agents, subsidiaries, joint ventures, employees and third-party service providers), from all claims, demands, losses, liabilities, costs, expenses, obligations and damages of every kind and nature, known and unknown, including reasonable legal fees, arising out of (a) your use of and access to the Sites and the Interactive Services; (b) your violation of any term of these Terms of Use; (c) a breach of your representations and warranties set forth above regarding Content; (d) your violation of any law or the rights of a third party (including, without limitation, any copyright, property or privacy right); or (e) any claim that any Content you submitted caused damage to a third party. This indemnification obligation will survive the termination of these Terms of Use and your use of the Sites and the Interactive Services. 19.Applicable Law The Sites and Interactive Services are created and controlled by Asian Portal in Japan. As such, the laws of Japan will govern these Terms of Use, without giving effect to any principles of conflicts of laws. Asian Portal reserves the right to make changes to its Web site and these Terms of Use at any time. Our Address 4-17-20 Hakata-eki-minami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan 20.Fraud Protection Program As part of our order processing procedures, we screen all received orders for fraud or other types of unauthorized or illegal activity. We reserve the right to refuse to process an order due to suspected fraud or unauthorized or illegal activity. If such is the case, we may reject your order or our Customer Service department may call you at the phone number you provided (or use your email address) to confirm your order. We also reserve the right to cancel any accounts or refuse to ship to certain addresses due to suspected fraud or unauthorized or illegal activity. We take these measures to protect our customers as well as ourselves from fraud or other unauthorized or illegal activity. 21.General Any claim or dispute between you and Asian Portal that arises in whole or in part from the Sites or the Interactive Services shall be decided exclusively by a court of competent jurisdiction located in Japan. If any provision of these Terms of Use is deemed invalid by a court of competent jurisdiction, the invalidity of such provision shall not affect the validity of the remaining provisions of these Terms of Use, which shall remain in full force and effect. No waiver of any term of these Terms of Use shall be deemed a further or continuing waiver of such term or any other term, and Asian Portal 's failure to assert any right or provision under these Terms of Use shall not constitute a waiver of such right or provision. It is the express wish of the parties that these Terms of Use and all related documents be drawn up in English. TO THE EXTENT PERMITTED BY APPLICABLE LAWS, YOU AND Asian Portal AGREE THAT ANY CAUSE OF ACTION ARISING OUT OF OR RELATED TO THE SITES AND THE INTERACTIVE SERVICES MUST COMMENCE WITHIN ONE (1) YEAR AFTER THE CAUSE OF ACTION ACCRUES. OTHERWISE, SUCH CAUSE OF ACTION IS PERMANENTLY BARRED. Please agree to the Terms of Service Agree to the Terms of Service Address Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Street address * Street address Street address should be more than 1 characters. e.g. Roppongi 3-16-35 Building name e.g. 7F East Roppongi Bld. City * City City should be more than 1 characters. e.g. Minatoku State * State State should be more than 1 characters. e.g. Tokyo State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal code * Postal code Postal code should be more than 1 characters. POSTCODE_ERROR_NO_INT_NO_HYPHEN Enter your postal code and the address will be automatically displayed. e.g. 106-0032 Phone Number * Telephone number Telephone number should be more than 7 characters. 000-0000-0000 Fax Number 000-0000-0000 Option Newsletter I want to subscribe to a newsletter. Birthday Birthday must be 10 characters. e.g. 15/07/1978(mm/dd/yyyy) *Mandatory field