Name           
Institute  
Position   
Address
           
TEL             FAX    
E-mail      

Your attendant date    to  (day/month)  [Date: 29/June (Tue) to 2/July (Fri)]

Do you need financial support? 
    No
    Yes  (You cannot be supported in general if you are supported by Grant-in-Aid of Japan.)
          Your position without income with income

Would you like to ask your hotel reservation of the YITP office?
    No
    Yes  (Choice for the hotel, schedule, sex)
         Hotel:    Kitashirakawa Hotel (YITP hotel)  Any hotels around YITP
         Schedule:   to  (day/month),   nights 
         Sex:      Female  Male

Would you like to give a talk?   
    No
    Yes  (Fill in Title and Abstract)
Would you like to give a talk in
    English
    Japanese
    Both available
    
       Title
       
    
       Abstract  (If you have a HEP number, please write it.)
       

  (Make sure the content)