J-Physics Annual Meeting FY2017 Registration Form Checking form condition... Namerequired Affiliationrequired Affiliation Abbreviation (e.g. Hokkaido Univ., IMR Tohoku Univ., KEK-PF )required Title (e.g., Prof. , PD, D1, M2, B4)required Gender MaleFemale E-mailrequired Example:foo@example.com Participation Datesrequired All Dates(March 15 - 17)Partial(Please fill in the details.) Get-Togetherrequired Date:March 16(Fri.)18:30 〜 (TBD)Place:ISSP Cafeteria (TBD)Due:Staff: 4,000 JPY, Student: 2,000 JPY (TBD) joinnot join Presentationrequired Oral (OnlythepersonwhohasrequestedbyJ-Physicssecretariat.)Poster (The number is limited.)Not present. Title of Presentation ※ Abstract must be submitted. (See the announcement page.) ※ Abstract must be submitted. (See the announcement page.) Travel Expenses Supportrequired I hope.I do not hope. Reason for requesting the travel expenses. Itinerary (If you request the Travel Expenses Support.) e.g. 1: From March 15 to March 17, Sapporo - Kashiwa (using Haneda Airport) (two nights)e.g. 2: March 15 from Osaka to Kashiwa, March 17 Kashiwa to Sendai by another job. Availability of tickets when travel expenses are desired Use airplaneNot use airplane Estimate of travel expenses (in units of 1,000 JPY) Relation to J-Physicsrequired I am a member of the project.I am not a member, but a collaborator of a member.Others(Please state the relationship in detail in the box.) Questions and Comments
