registration form related to disqualification requirements for industrial waste disposal

If an individual, corporation, or corporate officer who has obtained permission falls under the disqualification requirements stipulated in Article 14, Paragraph 5, Item 2 of the Act, submit the registration form within two weeks. please.
If you do not submit a report within two weeks or make a false report, you may be punished with imprisonment for up to 6 months or a fine of up to 500,000 yen.
registration form style, etc.