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令和5年度 日本地域学会総会出欠確認
日時： 令和5年10月8日（日）13:15～14:50
会場： 名古屋大学 教養教育院棟 3 階・S30
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Registration for 2023 General Assembly Meeting of the Japan Section of the RSAI
Date: 8th October (Sun.), 2023 13:15～14:50
Venue: Nagoya University
＊Please reply below.
会員種別 Your membership category
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正会員 Regular member
学生会員 Student member
法人会員 Corporate Member
名前 Your name
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Your answer
なまえ ひらがな
Your answer
Title or Profession
Mr.
Ms.
Dr.
Other:
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所属 Affiliation
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e-mail address
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Your answer
出席・欠席 いずれかを選んで下さい。欠席の場合は下記委任状フォームより代理人の登録をお願い致します。
Please select either attendance or absence. If you are unable to attend the meeting, please register your attorney using the letter of attorney form below.
*
出席 attendance
欠席 absence
委任状 Letter of attorney
私は下記会員を代理人と定め，令和5年度日本地域学会総会における議決権を委任致します。
I hereby appoint the below-mentioned member as my attorney in regard to voting rights at 2023 General Assembly Meeting of the Japan Section of the RSAI.
代理人名 Name of the attorney
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郵便番号（7桁） Zip Code of your postal address
Your answer
住所 Your postal address
Your answer
名前 Your name
Your answer
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