PIM2024 Registration Form

※ indicates a required field
-----------------------------------------------------------
This application form is for the International Symposium and Poster Presentation on the 15th. 　　(Registration is now closed)
You cannot apply for the Joint Research Meeting to be held on the 14th.
Please use the Japanese version.
------------------------------------------------------------

Name ※	It will be printed on your nameplate.
Affiliation ※	It will be printed on your nameplate. Ex. PROS，Ehime University
Job Title ※	Research position (enterprise，university) Enterprise (excluding research position) Student (high school，university，grad school) Public participant Other
Address ※	Please enter the name of the prefecture where you work or go to school. (If you do not have a place of employment， please provide the name of your home state.) Country
Phone	Ex. 000-000-0000 home office
FAX	Ex. 000-000-0000 home office
E-mail ※	Ex. aaa@bbb.jp

International Symposium ※

The joint research presentation to be held on November 14 will be in Japanese only. You cannot apply for the joint research presentation using this form. If you wish to participate in the Joint Research Presentation， please apply for the symposium from the Japanese version. ------------------------------------------------------------ Friday，November 15 Will attend Will not attend Symposium Poster session I would like to do the poster presentation. I won't do the presentation. ▶ If you will be attending the poster session but not displaying a poster，please select "I won't do the presentation". ▶ The presenter must submit the abstract by September 30th. ▶About Poster(PDF) ▶Poster Abstract Form(Word)