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🎤 DiCoRD2026@MIMS 7/21-24 Registration Form

Please fill out the form below.　以下のフォームにご記入ください。

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Email *
１．Family Name in Roman alphabet /  姓（ローマ字） *
２．Given Name in Roman alphabet /  名（ローマ字）  *
３．Affiliation (Department, Institution) /  ご所属・部局 *
４． Position /  ご職位
（Ex. Professor / 教授）
 *
５．How to participate /  参加方法
Online / オンライン
Onsite / 対面
July 22 (Wed)
July 23 (Thu)
July 24 (Fri)
６．Dinner party participation / 夕食会の参加
７． Any special notes or requests Ex. Dietary Requirement etc. /  特記事項・ご要望があればご記入ください. 例) 食事に関する配慮など 
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