大学コンソーシアム八王子

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The 13th Annual Student Meeting of
the Consortium of Universities in Hachioji
Registration & submission form

indicates a requred field

 

Representative Presenter (Presenter 1)

 Last Name   
 First Name 

 

Representative presenter's affiliation (affiliation number 1)

  University    
  Faculty/Graduate School 
   ※For Graduate Student, please enter “Graduate School of ○○”Or major students, please enter “Major in ○○”
  Department    
  Major     
  Academic Year    
   ※For graduate students, please enter such as "M1, D1”.
  Laboratory name   
   ※Please enter the name of the course if your presentation is not based upon what you learned in your lab or seminar but in your regular course.
  Group Name   

 

Representative presenter's address

  Postal Code      
   ※please do not insert hyphens.
  Prefecture      
  Street Address     
  Apartment or building name  
  Applicant's telephone number   
   ※please do not insert hyphens
  Applicant's e-mail address 
  Confirm e-mail address*   

 

Affiliations of instructor, co-presenter, and research collaborator

 1)Affiliation of the representative presenter

 2)

 3)

 4)

 

Name of the second co-presenter

 Last Name   
 First Name   
 Affiliation number  

 

Please select and enter an affiliation number of the representative presenter, instructor, co-presenter, or research collaborator.

If one has more than one affiliation, enter the numbers as 1 and 2.

Please refer to Form 1-5 (Name and Affiliation) and Application Guideline 3 (5) ② Format 1 to 3.

 

Name of the third co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the forth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the fifth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the sixth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the seventh co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the eighth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the ninth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 

Name of the tenth co-presenter

 Last Name   
 First Name   

 Affiliation number  

 


 

Representative instructor (ex. professor, associate professor)

 Last Name  
 First Name  
 Affiliation number 

Please select and enter an affiliation number of the representative presenter, instructor, co-presenter, or research collaborator.

If one has more than one affiliation, please enter the numbers as 1 and 2.

Please refer to Form 1-5 (Name and Affiliation) and Application Guideline 3 (5) ② Format 1 to 3.

 

 Have you obtained the approval of your instructor?
   

 

 E-mail address of the instructor 

 Laboratory phone number or the instructor's phone number 

    ※please do not insert hyphens

 

Second instructor

 Last Name   
 First Name   
 Affiliation number  

 

Third instructor

 Last Name   
 First Name   
 Affiliation number  

 


 

First Research Collaborator

 Last Name   
 First Name   

 Affiliation number  

 

Second research Collaborator

 Last Name   
 First Name   
 Affiliation number  

Third research Collaborator

 Last Name   
 First Name   
 Affiliation number  

 


 

Field of presentation and abstract

・Presentation format [English Oral presentation (Online) only]

・Presentation Field [Biochemistry and Biotechnology]

 

・Select the format of the abstract(brief style)
   

 

・Presentation title (including the subtitle)
 1st line:
 2nd line:
 3rd line:

 Within 3 lines: * Up to 35 characters per line.

 Please enter the same title as in the abstract(2 pages in A4 size).

 

・Abstract(brief style) text

Up to 432 characters(Format 1:形式1),288 characters(Format 2:形式2),240 characters(Format 3:形式3)

The number of characters includes spaces, but excludes control codes(HTML Tag)

 

・Key words (at least one, but not more than five, up to a total of 35 characters)

 Please enter the same title as in the abstract(2 pages in A4 size).

 
 
 
 
 

 

・If you chose format 2 or 3, please attach a chart or diagram (jpg format)

×

 

・Please attach an abstract (2 pages in A4 size: pdf format)

×

 

 


 

 Have you confirmed all the contents of the essential guide?
 

 

 

 The contents that we've collected will not be used for any other purposes.

 

 

 

 

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