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LSS33 参加申込 (JLSS33 Pre Registration Form)
参加者は以下のフォームを埋めて下さい。(Please fill the following fields.)
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氏名(Full name)
*
Your answer
ふりがな(Full name)
*
Your answer
所属(Affiliation)
*
Your answer
郵便番号(Zip code)
*
Your answer
住所(Address)
*
Your answer
電話番号(Phone number)
*
Your answer
メールアドレス(E-mail)
*
Your answer
一般・学生(Regular or Student)
*
一般(Regular)
学生(Student)
懇親会(Social gathering)
*
参加する(Attend)
参加しない(Not Attend)
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