========================== Registration Form =========================

1) Name (title, first & family names) : ______________________________

2) Affiliation :______________________________________________________
   
3) Job title :________________________________________________________

4) Postal Address : __________________________________________________

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5) Email address : ___________________________________________________

6) Phone number : ____________________________________________________

7) Fax number : ______________________________________________________

8) Do you give a talk? (Yes / No) : _______________________

9) Title of talk : ___________________________________________________

10) Abstract of talk : _______________________________________________

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11) Do you need financial support? (Yes / No) : ______________________
   (Please apply for financial support only if you have absolutely
    no support and present a talk.)
    If "Yes",
    Resident in Japan: 
      We need information about your home address, your job-rank
      and your itinerary.

    Non-Resident:
      Please submit a title and an abstract of your talk in the above.
      We need information about a period of your attendance at the workshop.

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