JEMEA Entry Application Form

Personal information

※ must be fulfilled.(Excluding section.) 
※If you belong to nowhere input 'individual' in corporation and department.

Member Type
First Name
Family Name
Country
Postal Code
Address
Company
Department
Section
Mail Address
Phone

Procedure Information

Do you need an stamped invoice paper for the entry fee and the yearly fee?
Postal Code of Paper Destination
Address of Paper Destination(If same as address of personal information, 'input same as above'.)
Name of Accountant Staff

Additional Information

※You can skip below arbitrary.

Age
Gender
Professional Field
Academic Society, Institute or Conference You Join
What Makes You Join JEMEA

Check the regulations