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Email addressFirst name (名、ローマ字で)Middle nameFamily name (姓、ローマ字で)Nationality (国籍)Country of your institution (所属機関所在国名)Institution (所属機関)Department (部局、部署)Do you need a visa invitation letter or a certificate of participation? (ビザのためにレターや証明書が必要ですか？)Are you a young researcher (35 years old or younger)? (若手35歳以下ですか？)Gender (性別)Are you a student? (学生かどうか?)Position (職種) for non-studentGrade (学年) for studentWould you like to give a presentation at the workshop (talk or poster)? (発表を希望しますか？)Presentation Title (発表タイトル)Please let us know which days you plan to attend, and for each day, whether you will join on-site or online. Will you attend the banquet? (懇親会に参加しますか？)Do you have any dietary restrictions (allergies, vegetarian, halal, etc.)? (アレルギーやベジタリアンといった食事制限がありますか？)If you have dietary restrictions, please describe your dietary restrictions. (食事制限があれば、その内容について記述ください。)Comments or questions (optional)
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(Example) sadachi5@gmail.comShunsukeAdachiJapanJapanOkayama UniversityGRADUATE SCHOOL OF ENVIRONMENTAL,LIFE,NATURAL SCIENCE AND TECHNOLOGYNoYoung: 35 years old or youngerMaleNon-student (Faculty / Staff / Resercher / Postdoc etc) Associate ProfessorPoster (ポスター発表)Current Status of the DOSUE-RR Dish Antenna Search for Wavy Dark MatterDay1-Day3 (Onsite)YesNo
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