The 35th Annual Scientific Meeting of the Japan Epidemiological Association

Registration Form

*First, select one of the Congress Participation Registration Category. The screen will change to the screen for each category.

Congress Participation Registration Fee

[Early] Member 12,000JPY

[Early] Non-member 15,000JPY

[Early] Student 4,000JPY

Pre-seminar only

*Graduate students may also register in the student category.

Membership number *If you are in the process of enrolling, please enter [9999].

Student ID

*Students must attach a copy of their student ID card.

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Pre-seminar

Participation

Only one on-site participation is allowed in each time slot in the Pre-seminar.
For more information on the Pre-seminar, please click here.

Last name

First name

姓（フリガナ） For Japanese participants

名（フリガナ） For Japanese participants

Company / Organization Name

Department

Address

Home

Affiliation

Postal Code

Prefectures

Address1

Address2

Telephone number

E-Mail Address

Password

Password Confirm

Handling of personal information.

I agree. ◆Handling of personal information.