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            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

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

            Check the regulations