REGISTRATION FORM
2nd Materials Science School for Young Scientists
August 1-3, 2005, Hotel Iwanuma-ya, Akiu, Sendai
Date(Y/M/D):
NAME
First Name Last Name （日本人は漢字名も）氏名
Sex (male or female)
AFFILIATION
Work Address(郵送先住所) (with ZIP code, in Japanese if possible[日本語表記が望ましい])
Position (school year): COE program * member (YES, NO)
*”International Center for Research and Education for Materials”
e-mail:
Tel:
Fax:
Research field:
Presentation ( poster presentation) (Yes or No)
Title:
Authors:
Please send your abstract with this registration form.
Lodging and Board
Full program (2 nights stay and full board) participation in principle
Particular staying request if you have:
Special meal request：( for example, vegetarian,…)
Bus transfer
August 1st from IMR to Iwanuma-ya (Yes or No)
August 3rd from Iwanuma-ya to IMR (Yes or No)
Registration fee (25,000JPY, cash only) should be paid at the registration desk in
Iwanuma-ya
Request for the financial support (poster presentation is necessary.): (Yes or No)
(If yes, IFCAM office will contact you on the detail of the support.)
send to IFCAM office: e-mail: ifcam@imr.tohoku.ac.jp
Deadline: 2005 July 11 (Mon)