J-Physics 2017 Registration Form

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J-Physics 2017 Registration Form

Participants

Gender

Pease write one name per line with his/her gender.

Address

Accommondation

required

Room Type & Rates
1. Single 11,000JPY
2. Twin (1 person) 15,000JPY
3. Twin (2 persons) 11,000JPY
4. Twin (3 persons) 10,000JPY
5. Twin (4 persons) 9,000JPY

Room rates displayed are per night per person. Breakfast, dinner, consumption tax and service charges are included. If you select No. 3, 4, or 5 and share a room with specified person/s, please write the name/s of your roommate/s in the box below.

Other programsrequired

Presentation

Classificationrequired

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