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カルチュラルタイフーン2022 [グループ発表] 応募フォーム Cultural Typhoon 2022 Application Form (Group Presentation)
*応募フォームは日本語もしくは英語にてご記入ください。
*Please fill out the form in either Japanese or English.
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* Indicates required question
PANEL ORGANIZER / パネル・オーガナイザー
Name(氏名)
*
Your answer
Name in Alphabet (アルファベット)(If the name above is in Japanese-Chinese characters, please write in alphabet)
Your answer
Affiliation(所属)
*
Your answer
E-Mail
*
Your answer
E-Mail confirmation(確認のためもう一度E-mailをご入力ください)
*
Your answer
Current Residence(居住地)(Country/City・県/市)
*
Your answer
PANELIST 1 / パネリスト1
Name(氏名)
*
Your answer
Name in Alphabet (アルファベット)(If the name above is in Japanese-Chinese characters, please write in alphabet)
Your answer
Affiliation(所属)
*
Your answer
E-Mail
*
Your answer
E-Mail confirmation(確認のためもう一度E-mailをご入力ください)
*
Your answer
Current Residence(居住地)(Country/City・県/市)
*
Your answer
PANELIST 2 / パネリスト2
Name(氏名)
Your answer
Name in Alphabet (アルファベット)(If the name above is in Japanese-Chinese characters, please write in alphabet)
Your answer
Affiliation(所属)
Your answer
E-Mail
Your answer
E-Mail confirmation(確認のためもう一度E-mailをご入力ください)
Your answer
Current Residence(居住地)(Country/City・県/市)
Your answer
PANELIST 3 / パネリスト3
Name(氏名)
Your answer
Name in Alphabet (アルファベット)(If the name above is in Japanese-Chinese characters, please write in alphabet)
Your answer
Affiliation(所属)
Your answer
E-Mail
Your answer
E-Mail confirmation(確認のためもう一度E-mailをご入力ください)
Your answer
Current Residence(居住地)(Country/City・県/市)
Your answer
PANELIST 4 and more / パネリスト4以降
If you have more panelists, please give Name, Name in Alphabet, Affiliation, E-Mail for each additional panelists. / パネリスト4以降については、こちらにそれぞれの氏名、所属、連絡先のE-Mailアドレスをご記入ください。
Your answer
Panel Title( パネル・タイトル)
*
Your answer
Language (使用言語)
*
Choose
English 英語
Japanese 日本語
Abstract(300words/English)or要旨(800字/日本語)
*
Your answer
Preference of Presentation Style (対面の希望): If allowed, would you prefer to present in person? (もし状況的に可能であれば、対面式での発表を希望しますか?)
*
YES
NO
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