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石原純夫先生を偲ぶ会登録フォーム
石原純夫先生を偲ぶメーリングリストの登録フォームです / Registration form to "In Memory of Prof. Sumio Ishihara" mailing list
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お名前 / Full Name
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姓と名の間にスペースを入れてください。/ Please put a space between your first and last name.
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OBの方はもし差し障りなければ勤務先をご入力ください。退職された方は空欄にしていただいて結構です。/ If possible, please enter your affiliation.
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