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 Deadline
		
		
		
           - September 29, if travel support is requested
		
           - October 10, if travel support is not requested
		

		

	




		

		
		

		
 Please fill out the application form below and submit it (in English). 
		
 
		
         ----------------------------------- Registration Form -----------------------------------
		

          0. Date: 22nd @ ISAS/JAXA   22nd @ TV
		

          1. Name: 
		

          2. Affiliation: 
		

          3. Positions: 
		PostDoc Faculty Student etc.
		 

	
		
          4. Email: 
		

          5. Phone: 

		

          6. Presentation: Oral   Poster   None
		

              Please type your presentation title.

		             
		

              We would appreciate it if you could prepare your slides in English.
		
	              (Both Japanese and English are fine for talk and discussion.)

		

          7. Travel support: Yes   No
		

                Please fill in the following if you request travel support. 
		
   	        	    Institute Address: 
		
   	        	    Travel schedule: from  to  (e.g., 2017/11/22)
		
   	        	    Travel: railway     airplane
		
                Nearest station of your institute: 

		
                Have you received any travel support in the past? Yes   No
	
 
		

          8. Any comments or questions, if any: 

		        
		

		        
		

		

		       
		
          ----------------------------------- Registration form end -----------------------------------