電子スピンサイエンス学会入会申し込み
SEST Membership submission
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Email *
入会後の会員種別:Membership you apply *
氏名(日本語):Full Name in Japanese *
氏名(英語):Full name in English( if you do not have Japanese Name, please type the same as above) *
ふりがな(ひらがな)(Furigana in Hiragana or in Japanease syllabary) *
生年と月(例1972.01):Year of birth and month(Example 1972.01) *
連絡先:Contact *
勤務先・所属(研究室名まで): Affiliation(including lab/section) *
勤務先(英語): Affiliation in English *
勤務先郵便番号:Working Address Zip Code *
勤務先住所:Working Address *
連絡メール : Main e-mail address *
予備メール: e-mail address(for the failure of the main e-mail address) *
自宅郵便番号:Home address Zip Code *
自宅住所:Home address *
連絡先電話番号:Contact phone number *
職名:Position *
性別(任意:会員の男女比率等の統計のためにのみ用います):Sex(optional: this is used for statistical analysis only)
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学生の場合は以下も記入のこと:In case of student, fill in below
学生の場合、修了予定年度の12月末で退会とします。延長が必要な場合は修了年度の11月末までに事務局まで連絡してください: For student, membership will finish in the end of December of  the fiscal year of the graduation. In case an extension is needed, contact by the end of November of the related year.
学年:Academic Year student
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学生の修了予定年月日:Expected Graduation date  in case of student
MM
/
DD
/
YYYY
指導教員:Supervisor
指導教員の電子メール:e-mail address of supervisor
A copy of your responses will be emailed to the address you provided.
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